Organization
CARESOURCE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NOVA BAKER (OWNER)
(888) 360-3397
Entity
Organization
Contact information
Practice address
4020 OAKMEADOW DR, PLANO, TX 75093-8538
(888) 360-3397
(866) 458-0728
Mailing address
4020 OAKMEADOW DR, PLANO, TX 75093-8538
(888) 360-3397
(866) 458-0728
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/15/2007
Last updated
10/20/2020
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