Organization
PROMEDICS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELIX ECHENDU (PRESIDENT)
(214) 470-0799
Entity
Organization
Contact information
Practice address
1120 COMMERCE DR, RICHARDSON, TX 75081-2307
(972) 840-2400
(972) 767-3637
Mailing address
PO BOX 742614, DALLAS, TX 75374-2614
(214) 470-0799
(972) 767-3637
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0059205
TX
332BC3200X
Customized Equipment (DME)
0059205
TX
332BD1200X
Dialysis Equipment & Supplies (DME)
0059205
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0059205
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0059205
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149557401
—
TX
05
—
149557402
—
TX
05
—
149557403
—
TX
Enumeration date
08/17/2006
Last updated
10/30/2008
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