STRACON MEDICAL SUPPLY
NPI 1053497008
Durable Medical Equipment & Medical Supplies in Grand Prairie, TX

Active since October 31, 2006
810 DALWORTH ST STE B, GRAND PRAIRIE, TX 75050(972) 262-5053(972) 262-7160 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stracon Medical Supply NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STRACON MEDICAL SUPPLY (NPI 1053497008) is a healthcare organization registered as a durable medical equipment & medical supplies in Grand Prairie, Texas and active in the NPI registry since October 2006. The organization maintains a secondary practice location in Grand Prairie and lists Philip A Adesulu, Managing Officer, as its authorized official.

NPPES Registry Identity

NPI1053497008
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSTRACON
Location Address810 DALWORTH ST STE BGrand Prairie, TX 75050-5516
Mailing Address810 Dalworth St Ste BGrand Prairie, TX 75050-5516 · (972) 262-5053 · Fax (972) 262-7160
Fax(972) 262-7160
Organization SubpartNo
Authorized OfficialPhilip A AdesuluManaging Officer · (972) 262-5053
Enumeration DateOctober 31, 2006
Last NPPES UpdateOctober 1, 2019
NPI 1053497008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in TX · 0085290
Definition

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.

810 DALWORTH ST STE B, Grand Prairie, TX 75050

Other Names 1

Doing Business AsStracon Medical Supply

Secondary Practice Location 1

Location 1812 Dalworth StGrand Prairie, TX 75050-5545 · Phone (972) 262-5053 · Fax (972) 262-7160

Other Identifiers 2

Medicaid179685602TX
Medicaid179685601TX

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053497008, enumerated as an "organization" on October 31, 2006.

The provider is located at 810 DALWORTH ST STE B GRAND PRAIRIE, TX 75050 and the phone number is (972) 262-5053.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: WellPoint, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.