Organization
EZ LIFE MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOSS RAVANDI (ORGANIZOR)
(214) 450-0295
Entity
Organization
Contact information
Practice address
101 S COIT RD, RICHARDSON, TX 75080-5743
(214) 450-0295
(214) 570-1620
Mailing address
4697 GLEN HEATHER DR, FRISCO, TX 75034-2185
(214) 415-2914
(214) 570-1620
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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