Organization
METAMORPHOSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA OLIVER (MANAGING MEMBER)
(972) 896-4641
Entity
Organization
Contact information
Practice address
2322 PARKER ROAD, SUITE 420, CARROLLTON, TX 75010
(972) 467-9322
Mailing address
3948 LEGACY DR, SUITE 106- PMB 185, PLANO, TX 75023
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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