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Organization
CAREMAX MEDICAL RESOURCES, LLC
Active
Organization
CAREMAX MEDICAL RESOURCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYANT MOSHANG (CONTROLLER)
(410) 910-1578
Entity
Organization
Contact information
Practice address
1860 W MOCKINGBIRD LN, SUITE 150, DALLAS, TX 75235-5013
(214) 353-9090
Mailing address
13111 COLLECTION CENTER DR, CHICAGO, IL 60693-0131
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0085868
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
Other
Enumeration date
07/28/2006
Last updated
12/01/2008
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