Provider Demographics
NPI:1437881166
Name:CIDEL MEDICAL SUPPLIES INC.
Entity Type:Organization
Organization Name:CIDEL MEDICAL SUPPLIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:IFEJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-685-6027
Mailing Address - Street 1:804 W SHORE DR STE 11
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-5048
Mailing Address - Country:US
Mailing Address - Phone:972-685-6027
Mailing Address - Fax:972-685-5715
Practice Address - Street 1:804 W SHORE DR STE 11
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-5048
Practice Address - Country:US
Practice Address - Phone:972-685-6027
Practice Address - Fax:972-685-5715
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CIDEL MEDICAL SUPPLIES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)