Organization
NORTH TEXAS HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA JOYCE JOHNSON (DME SUPPLIER)
(972) 463-0171
Entity
Organization
Contact information
Practice address
4217 PINECREEK DR, ROWLETT, TX 75088-9252
(972) 463-0171
Mailing address
4217 PINECREEK DR, ROWLETT, TX 75088-9252
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0066957
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153175802
—
TX
Enumeration date
09/12/2007
Last updated
09/12/2007
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