Organization
CIDEL MEDICAL SUPPLIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL IKE IFEJI (C.E.O)
(972) 801-7454
Entity
Organization
Contact information
Practice address
804 W SHORE DR, SUITE 11, RICHARDSON, TX 75080-5047
(972) 801-7454
Mailing address
804 W SHORE DR, SUITE 11, RICHARDSON, TX 75080-5047
(972) 801-7454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000565
TX
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
1000565
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
1000565
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000565
WHOLESALE DISTRIBUTOR LICENSE
TX
Enumeration date
07/09/2011
Last updated
02/14/2024
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