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NPI Code Detail

MEDICARE: INDEPLUS GROUP OF COMPANIES INC.

MEDICARE: INDEPLUS GROUP OF COMPANIES 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
1251E00000XHome Health Agency009258TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CL1023OTHERTXMEDICARE PART B

General Provider Information

NPI Number : 1528000270
Entity Type Code : Organization
Provider Name (Legal Business Name) : INDEPLUS GROUP OF COMPANIES INC.
Provider Business Mailing Address
First Line : 818 DALWORTH ST
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75050-5545
Country : US
Telephone Number : 972-602-3333
Fax Number : 972-602-3341
Provider Business Practice Location Address
First Line : 818 DALWORTH ST
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75050-5545
Country : US
Telephone Number : 972-602-3333
Fax Number : 972-602-3341
Authorized Official
Title or Position : CFO/CEO
Name : MR. STEVE OZIEGBE JOSEPH
Credential :
Telephone Number : 972-602-3333
Provider Enumeration Date : 06/10/2006
Last Update Date : 09/30/2008

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Directions to “INDEPLUS GROUP OF COMPANIES INC. ” Practice Location

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