Healthcare Provider Details

I. General information

NPI: 1316181654
Provider Name (Legal Business Name): ZOOM MEDICAL PRODUCTS INC.4275949
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2009
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 S CARRIER PKWY STE 201
GRAND PRAIRIE TX
75052-6053
US

IV. Provider business mailing address

PO BOX 153101
ARLINGTON TX
76015-9101
US

V. Phone/Fax

Practice location:
  • Phone: 214-227-2334
  • Fax: 214-227-2315
Mailing address:
  • Phone: 214-227-2334
  • Fax: 214-227-2315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0109743
License Number StateTX

VIII. Authorized Official

Name: DUSTIN QUINN CHRISTENSEN
Title or Position: CEO/ OWNER
Credential:
Phone: 469-878-0714