MEDICARE: CATHETER SAFETY PRODUCT LLC

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	332BN1400X	Nursing Facility Supplies (DME)

General Provider Information

NPI Number	:	1396150124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHETER SAFETY PRODUCT LLC

Provider Business Mailing Address
First Line	:	5015 ADDISON CIR # 282
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-3308
Country	:	US
Telephone Number	:	214-718-5644
Fax Number	:

Provider Business Practice Location Address
First Line	:	5015 ADDISON CIR # 282
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-3308
Country	:	US
Telephone Number	:	214-718-5644
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ANTONIO VOLPICELLI
Credential	:
Telephone Number	:	214-718-5644

Provider Enumeration Date	:	07/01/2014
Last Update Date	:	07/01/2014

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