Provider Demographics
NPI:1366868333
Name:PALM SPRINGS PARTNERS,LLC
Entity Type:Organization
Organization Name:PALM SPRINGS PARTNERS,LLC
Other - Org Name:MAXIM SURGICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:QUALITY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:FAIZ
Authorized Official - Middle Name:U
Authorized Official - Last Name:MOHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-331-5861
Mailing Address - Street 1:1565 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 200-A
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3576
Mailing Address - Country:US
Mailing Address - Phone:972-331-5861
Mailing Address - Fax:
Practice Address - Street 1:1565 N CENTRAL EXPY
Practice Address - Street 2:SUITE 200-A
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3576
Practice Address - Country:US
Practice Address - Phone:972-331-5861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-13
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies