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NPI Code Detail

MEDICARE: ROCK MEDICAL LLC

MEDICARE: ROCK MEDICAL 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1669057352
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROCK MEDICAL LLC
Provider Business Mailing Address
First Line : 6565 N MACARTHUR BLVD STE 225
Second Line :
City : IRVING
State : TX
Zip : 75039-2482
Country : US
Telephone Number : 999-999-9999
Fax Number :
Provider Business Practice Location Address
First Line : 6565 N MACARTHUR BLVD STE 225
Second Line :
City : IRVING
State : TX
Zip : 75039-2482
Country : US
Telephone Number : 999-999-9999
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MARTIN FULLER
Credential :
Telephone Number : 469-395-8402
Provider Enumeration Date : 03/14/2021
Last Update Date : 03/15/2021

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Directions to “ROCK MEDICAL LLC ” Practice Location

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