Organization
ELDER CHOICES SUPPLY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE IBALMEA GONZALEZ (DIRECTOR)
(469) 508-6517
Entity
Organization
Contact information
Practice address
9535 FOREST LN STE 236, DALLAS, TX 75243-6297
(469) 508-6517
Mailing address
9535 FOREST LN STE 236, DALLAS, TX 75243-6297
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/12/2024
Last updated
10/12/2024
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