Healthcare Provider Details

I. General information

NPI: 1255660585
Provider Name (Legal Business Name): ASSURANT MEDICAL SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2009
Last Update Date: 12/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1114 GERMANY DRIVE
CEDAR HILL TX
75104
US

IV. Provider business mailing address

8035 E. RL THORNTON FRWY STE 420
DALLAS TX
75228
US

V. Phone/Fax

Practice location:
  • Phone: 214-753-6721
  • Fax: 214-327-5903
Mailing address:
  • Phone: 214-753-6721
  • Fax: 214-327-5903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. ERIC CHARLES ROBERTSON
Title or Position: OWNER
Credential: DME
Phone: 214-753-6721