Healthcare Provider Details

I. General information

NPI: 1922883073
Provider Name (Legal Business Name): MS & N INTERNATIONAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 10/02/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2813 GALLERIA DR
ARLINGTON TX
76011-6715
US

IV. Provider business mailing address

2813 GALLERIA DR
ARLINGTON TX
76011-6715
US

V. Phone/Fax

Practice location:
  • Phone: 972-816-3050
  • Fax:
Mailing address:
  • Phone: 972-816-3050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name: SHAUNTAVIA WILLIAMS
Title or Position: PRESIDENT
Credential:
Phone: 972-816-3050