Organization Name: | DALLAS LIFE SUPPORT SYSTEMS, INC |
NPI Number: | 1780686998 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAYMOND GARBER (PRESIDENT) |
Mailing Address: | 7440 Whitehall St Richland Hills |
State: | TX US |
Postal Code: | 761186426 |
Phone Number: | 8172847788 |
Fax Number: | 8172847780 |
NPI Enumeration Date: | 06/01/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 0030830 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |