=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114964624
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEALTHCARE DYNAMICS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/01/2006
-----------------------------------------------------
Last Update Date | 02/03/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1327 RECORD CROSSING RD
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75235-6003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-631-4210
-----------------------------------------------------
Fax | 214-631-4280
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1327 RECORD CROSSING RD
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75235-6003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-631-4210
-----------------------------------------------------
Fax | 214-631-4280
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. WALTER ROBINSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 214-631-4210
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332BX2000X
-----------------------------------------------------
Taxonomy Name | Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
License Number | 0042200
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------