Organization
NEW HORIZONS MEDICAL SUPPLIES & EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNWOOD M ELLIS (MANAGER)
(972) 230-7081
Entity
Organization
Contact information
Practice address
104 CHOWNING DR, SUITE 112, DESOTO, TX 75115-4900
(972) 230-7081
(972) 230-7075
Mailing address
104 CHOWNING DR, SUITE 112, DESOTO, TX 75115-4900
(972) 230-7081
(972) 230-7075
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0073639
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164132602
—
TX
Enumeration date
06/18/2006
Last updated
07/22/2008
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