Organization
MGA MEDICAL EQUIPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMEKA GODFREY IWUNZE N/A (PRESIDENT/COO)
(972) 685-5380
Entity
Organization
Contact information
Practice address
9550 FOREST LN STE 207, DALLAS, TX 75243-6099
(972) 685-5380
(972) 685-5390
Mailing address
PO BOX 742394, DALLAS, TX 75374-2394
(972) 685-5380
(972) 685-5390
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
1001062
TX
332B00000X
Durable Medical Equipment & Medical Supplies
0072889
TX
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1001062
TX
332BN1400X
Nursing Facility Supplies (DME)
1001062
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1001062
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166477301
—
TX
05
—
166477302
—
TX
Enumeration date
06/28/2005
Last updated
12/31/2015
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