# IKE GINIS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PHELIYK MEDICAL SUPPLY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164458360
- **Authorized official:** IKE GINIS (CEO)
- **Authorized official phone:** (972) 699-7600

## Contact information

- **Practice address:** 777 S CENTRAL EXPY, SUITE 1B, RICHARDSON, TX 75080-7411
- **Practice address phone:** (972) 699-7600
- **Mailing address:** 777 S CENTRAL EXPY, SUITE 1B, RICHARDSON, TX 75080-7411
- **Mailing address phone:** (972) 699-7600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0062948 | TX | Yes |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 06/25/2008