Healthcare Provider Details

I. General information

NPI: 1427147412
Provider Name (Legal Business Name): GUARDIAN HEALTH SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2508 OAK LAWN AVE
DALLAS TX
75219
US

IV. Provider business mailing address

2508 OAK LAWN AVE
DALLAS TX
75219
US

V. Phone/Fax

Practice location:
  • Phone: 214-221-8181
  • Fax: 214-221-8282
Mailing address:
  • Phone: 214-221-8181
  • Fax: 214-221-8282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number4509014
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number4509014
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number4509014
License Number StateUT

VIII. Authorized Official

Name: MR. JACK R MUNN
Title or Position: OWNER/PRESIDENT
Credential: RPH
Phone: 214-221-8181