Organization Name: | CAS MEDICAL SUPPLY |
NPI Number: | 1013938281 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHUCK ALFRED IJIOMA (COO) |
Mailing Address: | 2600 W Irving Blvd Irving |
State: | TX US |
Postal Code: | 750614233 |
Phone Number: | 2143296414 |
Fax Number: | 2144320290 |
NPI Enumeration Date: | 07/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |