# INNOVATIVE THERAPY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INNOVATIVE THERAPY P.C.
- **Other names:** Innovative Medical Supplies
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336907260
- **Legal business name:** INNOVATIVE THERAPY P.C.
- **Authorized official:** MARY L. THOMAS PT (CEO)
- **Authorized official phone:** (214) 225-8530

## Contact information

- **Practice address:** 13747 MONTFORT DR STE 160, DALLAS, TX 75240-4497
- **Practice address phone:** (214) 225-8530
- **Practice address fax:** (888) 816-3627
- **Mailing address:** 13747 MONTFORT DR STE 160, DALLAS, TX 75240-4497
- **Mailing address phone:** (214) 225-8530

## Taxonomy

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

## Other

- **Enumeration date:** 03/06/2024
- **Last updated:** 03/06/2024