Organization
CIPAN MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHINYELU NNAKE (OWNER)
(972) 699-8400
Entity
Organization
Contact information
Practice address
818 S CENTRAL EXPY, STE 4, RICHARDSON, TX 75080-7306
(972) 699-8400
(972) 699-8408
Mailing address
818 S CENTRAL EXPY, STE 4, RICHARDSON, TX 75080-7306
(972) 699-8400
(972) 699-8408
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000123
TX
Other
Enumeration date
07/24/2009
Last updated
11/19/2010
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