Healthcare Provider Details

I. General information

NPI: 1912930496
Provider Name (Legal Business Name): SAFLOY MEDICAL SUPPLY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 08/18/2021
Certification Date: 08/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2308 CREST PARK DR
ARLINGTON TX
76006-2801
US

IV. Provider business mailing address

2308 CREST PARK DR
ARLINGTON TX
76006-2801
US

V. Phone/Fax

Practice location:
  • Phone: 817-652-4493
  • Fax: 817-652-4431
Mailing address:
  • Phone: 817-652-4493
  • Fax: 817-652-4431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number0071383
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0071383
License Number StateTX

VIII. Authorized Official

Name: MS. FLORENCE MGBEDEM OKOLIE
Title or Position: PRESIDENT
Credential:
Phone: 817-652-4493