Organization
DALLAS LIFE SUPPORT SYSTEMS, INC
Active
Other names
Life Support Systems
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT GARBER (PRESIDENT)
(817) 284-7788
Entity
Organization
Contact information
Practice address
7440 WHITEHALL ST, RICHLAND HILLS, TX 76118-6426
(817) 284-7788
(817) 284-7780
Mailing address
7440 WHITEHALL ST, RICHLAND HILLS, TX 76118-6426
(817) 284-7788
(817) 284-7780
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0030830
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0030830
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016174701
—
TX
05
—
079335801
—
TX
05
—
087426501
—
TX
Enumeration date
06/01/2005
Last updated
04/16/2024
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