MEDICARE: GUARDIAN MED SUPPLIES

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	:	1871431445
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUARDIAN MED SUPPLIES

Provider Business Mailing Address
First Line	:	5473 BLAIR RD STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4227
Country	:	US
Telephone Number	:	314-200-2309
Fax Number	:

Provider Business Practice Location Address
First Line	:	7004 WIND ROW DRIVE
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070
Country	:	US
Telephone Number	:	314-200-2309
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	JEFF WALKER
Credential	:
Telephone Number	:	314-200-2309

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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