MEDICARE: PRIMEWORLD MEDICAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	1000044	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104064781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMEWORLD MEDICAL INC

Provider Business Mailing Address
First Line	:	334 E CAMP WISDOM RD
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75116-2706
Country	:	US
Telephone Number	:	972-709-1670
Fax Number	:	972-709-1667

Provider Business Practice Location Address
First Line	:	334 E CAMP WISDOM RD
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75116-2706
Country	:	US
Telephone Number	:	972-709-1670
Fax Number	:	972-709-1667

Authorized Official
Title or Position	:	OWNER/ADMIN
Name	:	EDWIN M OPARAOCHAEKWE
Credential	:
Telephone Number	:	972-709-1670

Provider Enumeration Date	:	02/04/2009
Last Update Date	:	08/02/2011

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Directions to “PRIMEWORLD MEDICAL INC ” Practice Location

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