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NPI Code Detail

MEDICARE: RED LABEL EXTENSIONS LLC

MEDICARE: RED LABEL EXTENSIONS 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 : 1982577466
Entity Type Code : Organization
Provider Name (Legal Business Name) : RED LABEL EXTENSIONS LLC
Provider Business Mailing Address
First Line : 2041 FARRINGTON ST
Second Line :
City : DALLAS
State : TX
Zip : 75207-6607
Country : US
Telephone Number : 214-986-3282
Fax Number :
Provider Business Practice Location Address
First Line : 2041 FARRINGTON ST
Second Line :
City : DALLAS
State : TX
Zip : 75207-6607
Country : US
Telephone Number : 214-986-3282
Fax Number :
Authorized Official
Title or Position : CRANIAL PROSTHESIS
Name : ERICA DRISDALE
Credential :
Telephone Number : 214-986-3282
Provider Enumeration Date : 09/29/2025
Last Update Date : 12/08/2025

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Directions to “RED LABEL EXTENSIONS LLC ” Practice Location

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