Organization
EDIMAX MEDICAL RESOURCE
Active
Other names
Edimax Medical Resource
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH O ESIN (DIRECTOR OF OPERATIONS)
(972) 278-4440
Entity
Organization
Contact information
Practice address
3228 SOUTHERN DR, SUITE 204-D, GARLAND, TX 75043-1579
(972) 278-4440
(972) 926-9574
Mailing address
3228 SOUTHERN DR, SUITE 204-D, GARLAND, TX 75043-1579
(972) 278-4440
(972) 926-9574
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1586661-01
—
TX
05
—
1586661-02
—
TX
Enumeration date
08/16/2005
Last updated
07/11/2008
Update your record
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