Organization
OPEN-HEAVEN MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL OLALEKAN AMOSUN (OFFICE MANAGER)
(972) 459-5555
Entity
Organization
Contact information
Practice address
860 HEBRON PKWY, SUITE 502, LEWISVILLE, TX 75057-5003
(972) 459-5555
Mailing address
860 HEBRON PKWY, SUITE 502, LEWISVILLE, TX 75057-5003
(972) 459-5555
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
N/A
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
6043840001
TX
Other
Enumeration date
12/13/2007
Last updated
06/23/2008
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