Organization
BAASELAR MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EKENG ANSA HENSHAW BSC (ADMINISTRATOR)
(469) 855-7240
Entity
Organization
Contact information
Practice address
11438 GOODNIGHT LANE, STE D, DALLAS, TX 75229-2061
(972) 241-1300
(972) 241-1327
Mailing address
11438 GOODNIGHT LANE, SUITE D, DALLAS, TX 75229-2061
(972) 241-1300
(972) 241-1327
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/12/2006
Last updated
12/04/2008
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