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THE IMG 365 NPI 1801467139


NPI Information

NPI: 1801467139
Provider Name: THE IMG 365
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
539 W COMMERCE ST # 5724
DALLAS, TX
ZIP 75208
Phone: (682) 352-7748
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THE IMG 365 is a customized equipment durable medical equipment medical supplies in Dallas, TX. THE IMG 365 NPI is 1801467139. The provider is registered as an organization entity type.

The provider's business location address is:

539 W COMMERCE ST # 5724
DALLAS, TX
ZIP 75208-953
Phone: (682) 352-7748

The provider's authorized official is Deshonda Chartrice Tucker .
The authorized official title is Owner and has the following contact phone number (682) 351-7748.

The enumeration date for this NPI number is 7/7/2021 and was last updated on 7/7/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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