# ELDER CHOICES SUPPLY CORP

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

## Provider details

- **NPI number:** 1689494973
- **Authorized official:** ENRIQUE IBALMEA GONZALEZ (DIRECTOR)
- **Authorized official phone:** (469) 508-6517

## Contact information

- **Practice address:** 9535 FOREST LN STE 236, DALLAS, TX 75243-6297
- **Practice address phone:** (469) 508-6517
- **Mailing address:** 9535 FOREST LN STE 236, DALLAS, TX 75243-6297

## Taxonomy

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

## Other

- **Enumeration date:** 10/12/2024
- **Last updated:** 10/12/2024