Provider Demographics
NPI:1164426144
Name:MMS EQUIPMENT OF DALLAS CENTRAL INC.
Entity Type:Organization
Organization Name:MMS EQUIPMENT OF DALLAS CENTRAL INC.
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 1:2601 W MOCKINGBIRD LN
Mailing Address - Street 2:STE 101
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-5630
Mailing Address - Country:US
Mailing Address - Phone:214-951-9710
Mailing Address - Fax:214-951-9720
Practice Address - Street 1:2601 W MOCKINGBIRD LN
Practice Address - Street 2:STE 101
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-5630
Practice Address - Country:US
Practice Address - Phone:214-951-9710
Practice Address - Fax:214-951-9720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0030646332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010234501Medicaid
TX519999OtherT.H.I.N. COMERCIAL
TX011741801Medicaid
TX519999OtherT.H.I.N. COMERCIAL