MEDICARE: SAFLOY MEDICAL SUPPLY CORPORATION

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	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	0071383	TX
2	332BX2000X	Oxygen Equipment & Supplies (DME)	0071383	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0071383	OTHER	TX	STATE LICENCE #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912930496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFLOY MEDICAL SUPPLY CORPORATION

Provider Business Mailing Address
First Line	:	2308 CREST PARK DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-2801
Country	:	US
Telephone Number	:	817-652-4493
Fax Number	:	817-652-4431

Provider Business Practice Location Address
First Line	:	2308 CREST PARK DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-2801
Country	:	US
Telephone Number	:	817-652-4493
Fax Number	:	817-652-4431

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. FLORENCE MGBEDEM OKOLIE
Credential	:
Telephone Number	:	817-652-4493

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	08/18/2021

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Directions to “SAFLOY MEDICAL SUPPLY CORPORATION ” Practice Location

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