# BAASELAR MEDICAL SUPPLIES

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

## Provider details

- **NPI number:** 1447354139
- **Authorized official:** MR. EKENG ANSA HENSHAW BSC (ADMINISTRATOR)
- **Authorized official phone:** (469) 855-7240

## Contact information

- **Practice address:** 11438 GOODNIGHT LANE, STE D, DALLAS, TX 75229-2061
- **Practice address phone:** (972) 241-1300
- **Practice address fax:** (972) 241-1327
- **Mailing address:** 11438 GOODNIGHT LANE, SUITE D, DALLAS, TX 75229-2061
- **Mailing address phone:** (972) 241-1300
- **Mailing address fax:** (972) 241-1327

## Taxonomy

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

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 12/04/2008