Organization
ENVISION MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHINASA MADUMERE (PRESIDENT)
(972) 437-4199
Entity
Organization
Contact information
Practice address
777 S CENTRAL EXPY, SUITE 6D, RICHARDSON, TX 75080-7411
(972) 437-4199
Mailing address
777 S CENTRAL EXPY, SUITE 6D, RICHARDSON, TX 75080-7411
(972) 437-4199
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0094034
TX
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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