PEDIATRIC RADIOANESTHESIA SUPPLY NPI 1578798468

NPI Information

  • NPI: 1578798468
  • Provider Name: PEDIATRIC RADIOANESTHESIA SUPPLY
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 3200 BROADWAY BLVD
    SUITE 350
    GARLAND, TX
    ZIP 75403
  • Phone: (972) 840-2804

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NPI Details

PEDIATRIC RADIOANESTHESIA SUPPLY is a durable medical equipment medical supplies in Garland, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PEDIATRIC RADIOANESTHESIA SUPPLY NPI is 1578798468. The provider is registered as an organization entity type.

The provider's business location address is:

3200 BROADWAY BLVD
SUITE 350
GARLAND, TX
ZIP 75403
Phone: (972) 840-2804
Fax: (972) 840-2884

The provider's authorized official is O R Davis .
The authorized official title is Anesthesiologist and has the following contact phone number (972) 840-2804.

The enumeration date for this NPI number is 5/20/2009 and was last updated on 5/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesJ5299TEXASYes

What is NPI?

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This page was last updated on: 11/21/2025

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