Organization
DELROSE MEDICAL EQUIPMENT & SUPPLY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGNA IKE UGOH RRT,RCP (DIRECTOR)
(972) 699-9200
Entity
Organization
Contact information
Practice address
811 S CENTRAL EXPY, SUITE 541, RICHARDSON, TX 75080-7415
(972) 699-9200
(972) 699-9207
Mailing address
811 S CENTRAL EXPY, SUITE 541, RICHARDSON, TX 75080-7415
(972) 699-9200
(972) 699-9207
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
217057303
TX
332BC3200X
Customized Equipment (DME)
217057301
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
217057302
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217057301
—
TX
05
—
217057302
—
TX
05
—
217057303
—
TX
Enumeration date
09/03/2010
Last updated
07/21/2022
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