MEDICARE: WOORI MEDICAL SUPPLY INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1699503276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOORI MEDICAL SUPPLY INC

Provider Business Mailing Address
First Line	:	11526 HARRY HINES BLVD STE 106D
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75229-8120
Country	:	US
Telephone Number	:	972-982-2228
Fax Number	:	972-820-5989

Provider Business Practice Location Address
First Line	:	11526 HARRY HINES BLVD STE 106D
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75229-8120
Country	:	US
Telephone Number	:	972-982-2228
Fax Number	:	972-820-5989

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YOUNG S KANG
Credential	:	RN
Telephone Number	:	972-982-2228

Provider Enumeration Date	:	07/24/2024
Last Update Date	:	03/06/2026

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