Provider Demographics
NPI:1093584203
Name:CK MID-CITIES INC.
Entity Type:Organization
Organization Name:CK MID-CITIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:VAN DUINEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-471-3377
Mailing Address - Street 1:1105 ARWINE CT
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-5914
Mailing Address - Country:US
Mailing Address - Phone:817-282-0828
Mailing Address - Fax:817-282-3060
Practice Address - Street 1:1105 ARWINE CT
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-5914
Practice Address - Country:US
Practice Address - Phone:817-282-0828
Practice Address - Fax:817-282-3060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care