# CHUBBY BEAR PEDIATRIC MEDICAL SUPPLIES

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

## Provider details

- **NPI number:** 1104791698
- **Authorized official:** SUZETTE EZEH (OWNER)
- **Authorized official phone:** (469) 215-9127

## Contact information

- **Practice address:** 5465 LEGACY DR STE 650, PLANO, TX 75024-4171
- **Practice address phone:** (469) 906-8345
- **Practice address fax:** (469) 906-8346
- **Mailing address:** 5465 LEGACY DR STE 650, PLANO, TX 75024-4171
- **Mailing address phone:** (469) 906-8345
- **Mailing address fax:** (469) 906-8346

## Taxonomy

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

## Other

- **Enumeration date:** 10/06/2025
- **Last updated:** 10/06/2025