MEDICARE: MEDICAL HYPERBARIC, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	291U00000X	Clinical Medical Laboratory
2	305S00000X	Point of Service
3	146L00000X	Paramedic

General Provider Information

NPI Number	:	1154797603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL HYPERBARIC, INC

Provider Business Mailing Address
First Line	:	PO BOX 600040
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75360-0040
Country	:	US
Telephone Number	:	214-890-7733
Fax Number	:

Provider Business Practice Location Address
First Line	:	13610 MIDWAY RD STE 224
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-4307
Country	:	US
Telephone Number	:	214-890-7733
Fax Number	:	866-444-4205

Authorized Official
Title or Position	:	BILLING DEPARTMENT MANAGER
Name	:	ERIC MUNOZ
Credential	:
Telephone Number	:	214-890-7733

Provider Enumeration Date	:	08/19/2015
Last Update Date	:	08/19/2015

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Directions to “MEDICAL HYPERBARIC, INC ” Practice Location

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