Bryant Dewayne Daniels | Dallas, TX • PECOS Search

Bryant Dewayne Daniels

Durable Medical Equipment & Medical Supplies

Suppliers

8035 E R L Thornton Fwy Ste 518g, Dallas, TX 75228-7063

PECOS Enrollment

Based on the most recent information from CMS, provider Bryant Dewayne Daniels does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1396993614
Provider Type
Individual
Full Name
Daniels, Bryant Dewayne
Title
Mr.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/28/2008
Last Updated
8/28/2008

Contact Information

Practice Location

8035 E R L Thornton Fwy Ste 518g, Dallas, TX 75228-7063

Unlisted Fax

Mailing Location

8035 E R L Thornton Fwy Ste 518g, Dallas, TX 75228-7063

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 332B00000X Primary	Description Durable Medical Equipment & Medical Supplies Suppliers	License 0106050 Texas