Organization
EXECUTIVE HEALTHCARE, LLC
Active
Other names
Allied Tri-Med
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANDLER JACKSON (V.P)
(972) 432-6550
Entity
Organization
Contact information
Practice address
6303 FOREST PARK RD, SUITE BLA 126, DALLAS, TX 75235
(972) 432-6550
(214) 261-2217
Mailing address
6303 FOREST PARK RD, SUITE BLA 126, DALLAS, TX 75235
(972) 432-6550
(214) 261-2217
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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