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Organization
C I M, LLC
Active
Organization
C I M, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUSTAFA TAHER FATAKDAWALA (CEO)
(832) 217-9838
Entity
Organization
Contact information
Practice address
11514 SWIFTWATER BRIDGE LN, SUGAR LAND, TX 77498-7049
(832) 886-0202
(832) 604-4040
Mailing address
11514 SWIFTWATER BRIDGE LN, SUGAR LAND, TX 77498-7049
(832) 886-0202
(832) 604-4040
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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