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Organization
MEDHEALTH
Active
Organization
MEDHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KENYON (CREDENTIALING MANAGER)
(214) 947-4523
Entity
Organization
Contact information
Practice address
1125 RAINTREE CIR STE 100, ALLEN, TX 75013-5289
(972) 727-9995
(972) 727-8350
Mailing address
3400 W. WHEATLAND ROAD, PAV III SUITE 360, DALLAS, TX 75237
(214) 884-4700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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