Organization
OKIKO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH AWA (PRESIDENT/ONWER)
(972) 415-1235
Entity
Organization
Contact information
Practice address
1000 NORA LN, DESOTO, TX 75115-5466
(972) 415-1235
(972) 230-3715
Mailing address
1000 NORA LN, DESOTO, TX 75115-5466
(972) 415-1235
(972) 230-3715
Taxonomy
Speciality
Code
Description
License number
State
331L00000X
Blood Bank
653821
TX
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
653821
TX
332BD1200X
Dialysis Equipment & Supplies (DME)
653821
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
653821
TX
332H00000X
Eyewear Supplier
653821
TX
3336H0001X
Home Infusion Therapy Pharmacy
653821
TX
335E00000X
Prosthetic/Orthotic Supplier
653821
TX
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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