Provider Demographics
NPI:1235634387
Name:MEDLIFE TEXAS INC
Entity Type:Organization
Organization Name:MEDLIFE TEXAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZEHRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-569-0745
Mailing Address - Street 1:805 STANFORD DR
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4412
Mailing Address - Country:US
Mailing Address - Phone:214-228-7246
Mailing Address - Fax:
Practice Address - Street 1:8 E SIDE PLZ STE C
Practice Address - Street 2:
Practice Address - City:LADONIA
Practice Address - State:TX
Practice Address - Zip Code:75449-1316
Practice Address - Country:US
Practice Address - Phone:469-569-0745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-29
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier