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1619786274 NPI number — MID-CITIES HOME MEDICAL DELIVERY SERVICES,LLC

NPI Number: 1619786274
Health Care Provider/Practitioner: MID-CITIES HOME MEDICAL DELIVERY SERVICES,LLC

Information about “1619786274” NPI (MID-CITIES HOME MEDICAL DELIVERY SERVICES,LLC) exists in 1619786274 in HTML format HTML  |  1619786274 in plain Text format TXT  |  1619786274 in PDF (Portable Document Format) PDF  |  1619786274 in an XML format XML  formats.

NPI Number : 1619786274 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619786274",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MID-CITIES HOME MEDICAL DELIVERY SERVICES,LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3017 RED HAWK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRAND PRAIRIE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75052-7634",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-249-7585",
    "MailingAddressFaxNumber": "866-273-7456",
    "FirstLinePracticeLocationAddress": "3017 RED HAWK DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRAND PRAIRIE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75052-7634",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-249-7585",
    "PracticeLocationAddressFaxNumber": "866-273-7456",
    "EnumerationDate": "01/07/2025",
    "LastUpdateDate": "02/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "REEP",
    "AuthorizedOfficialFirstName": "TRACY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "972-249-7585",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332BX2000X",
        "TaxonomyName": "Oxygen Equipment & Supplies (DME)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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