Organization
MEDICOR HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL DELGADO (ADMINISTRATOR)
(972) 926-7100
Entity
Organization
Contact information
Practice address
1731 WALL ST, SUITE 204, GARLAND, TX 75041-4061
(972) 926-7100
Mailing address
PO BOX 731395, DALLAS, TX 75373-1395
(800) 250-4468
(866) 930-8001
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0081934
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1793150-01
—
TX
01
—
531757
BCBS PROVIDER NUMBER
TX
Enumeration date
11/28/2006
Last updated
03/08/2012
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