MEDICARE: ZOOM MEDICAL PRODUCTS INC.4275949

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	0109743	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0109743	OTHER	TX	TEXAS STATE MEDICAL DEVICE LICENSE

General Provider Information

NPI Number	:	1316181654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZOOM MEDICAL PRODUCTS INC.4275949

Provider Business Mailing Address
First Line	:	PO BOX 153101
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-9101
Country	:	US
Telephone Number	:	214-227-2334
Fax Number	:	214-227-2315

Provider Business Practice Location Address
First Line	:	3200 S CARRIER PKWY STE 201
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-6053
Country	:	US
Telephone Number	:	214-227-2334
Fax Number	:	214-227-2315

Authorized Official
Title or Position	:	CEO/ OWNER
Name	:	DUSTIN QUINN CHRISTENSEN
Credential	:
Telephone Number	:	469-878-0714

Provider Enumeration Date	:	04/30/2009
Last Update Date	:	08/16/2023

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