=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831112499
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | D-MARC INVESTMENTS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/25/2006
-----------------------------------------------------
Last Update Date | 10/19/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1825 MARKET CENTER BLVD STE 425
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75207-3347
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-956-9770
-----------------------------------------------------
Fax | 214-956-7020
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1825 MARKET CENTER BLVD STE 425
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75207-3347
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-956-9770
-----------------------------------------------------
Fax | 214-956-7020
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO
-----------------------------------------------------
Name | GARY HASTY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 214-956-9770
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332BX2000X
-----------------------------------------------------
Taxonomy Name | Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
License Number | 0030766
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------