Healthcare Provider Details

I. General information

NPI: 1982750345
Provider Name (Legal Business Name): ZYBEC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9330 LYNDON B JOHNSON FWY SUITE 370
DALLAS TX
75243-3436
US

IV. Provider business mailing address

9330 LYNDON B JOHNSON FWY SUITE 370
DALLAS TX
75243-3436
US

V. Phone/Fax

Practice location:
  • Phone: 469-330-0055
  • Fax: 972-997-1251
Mailing address:
  • Phone: 469-330-0055
  • Fax: 972-997-1251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateTX

VIII. Authorized Official

Name: MR. WILLIAM RONALD GRIMES
Title or Position: CHAIRMAN OF THE BOARD
Credential:
Phone: 972-997-1253