Provider Demographics
NPI:1073071189
Name:MMS EQUIPMENT OF DALLAS WEST LLC
Entity Type:Organization
Organization Name:MMS EQUIPMENT OF DALLAS WEST LLC
Other - Org Name:MAJORS MEDICAL SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-951-9710
Mailing Address - Street 1:523 S HENDERSON ST
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-2109
Mailing Address - Country:US
Mailing Address - Phone:682-250-7115
Mailing Address - Fax:682-250-2744
Practice Address - Street 1:523 S HENDERSON ST
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2109
Practice Address - Country:US
Practice Address - Phone:682-250-7115
Practice Address - Fax:214-951-9710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies