MEDICARE: MED PRO DME 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

General Provider Information

NPI Number	:	1336947233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED PRO DME LLC

Provider Business Mailing Address
First Line	:	4101 MCEWEN RD STE 439
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-5112
Country	:	US
Telephone Number	:	786-449-0014
Fax Number	:

Provider Business Practice Location Address
First Line	:	4101 MCEWEN RD STE 439
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-5112
Country	:	US
Telephone Number	:	214-434-1509
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	MARIA LEON
Credential	:
Telephone Number	:	214-434-1509

Provider Enumeration Date	:	03/05/2025
Last Update Date	:	08/08/2025

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Directions to “MED PRO DME LLC ” Practice Location

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