Organization
PACO MEDICAL EQUIPMENT & SUPPLIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAJETAN OKEZIE OKPOKPO (CEO)
(214) 221-0560
Entity
Organization
Contact information
Practice address
9450 SKILLMAN ST, SUITE 104, DALLAS, TX 75243-8286
(214) 221-0560
(214) 221-6124
Mailing address
9450 SKILLMAN ST, SUITE 104, DALLAS, TX 75243-8286
(214) 221-0560
(214) 221-6124
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770083
—
TX
Enumeration date
07/01/2006
Last updated
08/22/2020
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