Healthcare Provider Details

I. General information

NPI: 1396781928
Provider Name (Legal Business Name): PERIMETER GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 12/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6105 DENTON HWY SUITE 70
HALTOM CITY TX
76148-3017
US

IV. Provider business mailing address

6105 DENTON HWY SUITE 70
HALTOM CITY TX
76148-3017
US

V. Phone/Fax

Practice location:
  • Phone: 817-656-7096
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0080434
License Number State

VIII. Authorized Official

Name: KEN HUFFMAN
Title or Position: PRESIDENT
Credential:
Phone: 817-656-7096