Organization
CIMOIC COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OBIE MBAKWE (PRESIDENT)
(214) 217-0147
Entity
Organization
Contact information
Practice address
3160 COMMONWEALTH DR, SUITE 190, DALLAS, TX 75247-6224
(214) 217-0147
(214) 357-5737
Mailing address
PO BOX 2241, COPPELL, TX 75019-8241
(214) 217-0147
(214) 357-5737
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00526527
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147168201
—
TX
Enumeration date
04/11/2006
Last updated
01/31/2011
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