Organization
CANAAN MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN-PIERRE YOBOUE (MANAGER)
(972) 258-0800
Entity
Organization
Contact information
Practice address
2121 W AIRPORT FWY, SUITE 230, IRVING, TX 75062-6008
(972) 258-0800
(972) 258-0977
Mailing address
2121 W AIRPORT FWY, SUITE 230, IRVING, TX 75062-6008
(972) 258-0800
(972) 258-0977
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0088798
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176523201
—
TX
Enumeration date
05/19/2006
Last updated
06/30/2008
Update your record
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