Organization
CHOICE SOURCE LLC
Active
Other names
Choice Source Therapeutic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W. BORDER (AUTHORIZED SIGNATORY)
(800) 225-5967
Entity
Organization
Contact information
Practice address
909 E COLLINS BLVD, SUITE 103, RICHARDSON, TX 75081-2253
(800) 992-3490
(972) 619-8224
Mailing address
1401 ELM ST FL 5 LOCKBOX 840688, DALLAS, TX 75202-2910
(800) 225-5967
(909) 799-4364
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
008085
TX
3336H0001X
Home Infusion Therapy Pharmacy
Primary
008085
TX
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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