# EZ LIFE MEDICAL SUPPLIES

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

## Provider details

- **NPI number:** 1194001495
- **Authorized official:** MR. HOSS RAVANDI (ORGANIZOR)
- **Authorized official phone:** (214) 450-0295

## Contact information

- **Practice address:** 101 S COIT RD, RICHARDSON, TX 75080-5743
- **Practice address phone:** (214) 450-0295
- **Practice address fax:** (214) 570-1620
- **Mailing address:** 4697 GLEN HEATHER DR, FRISCO, TX 75034-2185
- **Mailing address phone:** (214) 415-2914
- **Mailing address fax:** (214) 570-1620

## Taxonomy

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

## Other

- **Enumeration date:** 10/31/2011
- **Last updated:** 10/31/2011
