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NPI Code Detail

MEDICARE: WRENN MEDICAL SUPPLY

MEDICARE: WRENN MEDICAL SUPPLY
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 Supplies0057283TX

General Provider Information

NPI Number : 1740354703
Entity Type Code : Organization
Provider Name (Legal Business Name) : WRENN MEDICAL SUPPLY
Provider Business Mailing Address
First Line : 2834 SE LOOP 820
Second Line :
City : FORT WORTH
State : TX
Zip : 76140-1018
Country : US
Telephone Number : 817-568-1112
Fax Number : 817-568-8306
Provider Business Practice Location Address
First Line : 2834 SE LOOP 820
Second Line :
City : FORT WORTH
State : TX
Zip : 76140-1018
Country : US
Telephone Number : 817-568-1112
Fax Number : 817-568-8306
Authorized Official
Title or Position : OWNER
Name : MR. DARRELL SHAW WRENN
Credential :
Telephone Number : 817-568-1112
Provider Enumeration Date : 11/20/2006
Last Update Date : 08/22/2020

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Directions to “WRENN MEDICAL SUPPLY ” Practice Location

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