MEDICARE: MCG SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	0099966	TX

General Provider Information

NPI Number	:	1083898811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCG SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	2341 S COLLINS ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014-1224
Country	:	US
Telephone Number	:	817-303-0011
Fax Number	:	817-303-0012

Provider Business Practice Location Address
First Line	:	2341 S COLLINS ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014-1224
Country	:	US
Telephone Number	:	817-303-0011
Fax Number	:	817-303-0012

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SAMSON S ARAWOLE
Credential	:
Telephone Number	:	214-552-0277

Provider Enumeration Date	:	12/28/2007
Last Update Date	:	06/04/2008

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