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General NPI Number Information
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NPI Number | 1992734628
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Entity Type | Organization
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Legal Business Name | KALOR HOME MEDICAL, INC
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 11/12/2008
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Provider Practice Location Address
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Address Line | 3005 HOWELL ST 117
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City | ARLINGTON
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State | TX
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Zip | 76010-1445
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Country | US
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Telephone | 817-385-0304
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Fax | 817-385-0235
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Provider Business Mailing Address
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Address Line | 3005 HOWELL ST 117
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City | ARLINGTON
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State | TX
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Zip | 76010-1445
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Country | US
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Telephone | 817-385-0304
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Fax | 817-385-0235
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Authorized Official
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Title or Position | MANAGER
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Name | ROBERT FONCHAM NGWANAH
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Credential |
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Telephone | 817-385-0304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0086586
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License Number State | TX
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