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Organization
VINTAGE HEALTHCARE SERVICES LLC
Active
Organization
VINTAGE HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDRICK BAHAM (ADMINISTRATOR)
(214) 217-0574
Entity
Organization
Contact information
Practice address
1341 W MOCKINGBIRD LN STE 500W, DALLAS, TX 75247-6903
(214) 217-0574
(214) 217-0611
Mailing address
1341 W MOCKINGBIRD LN STE 500W, DALLAS, TX 75247-6903
(214) 217-0574
(214) 217-0611
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
08/31/2026
Last updated
08/31/2026
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