# ENVISION MEDICAL SUPPLY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003085242
- **Authorized official:** CHINASA MADUMERE (PRESIDENT)
- **Authorized official phone:** (972) 437-4199

## Contact information

- **Practice address:** 777 S CENTRAL EXPY, SUITE 6D, RICHARDSON, TX 75080-7411
- **Practice address phone:** (972) 437-4199
- **Mailing address:** 777 S CENTRAL EXPY, SUITE 6D, RICHARDSON, TX 75080-7411
- **Mailing address phone:** (972) 437-4199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0094034 | TX | Yes |

## Other

- **Enumeration date:** 02/21/2008
- **Last updated:** 02/21/2008