Provider Demographics
NPI:1558543694
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 1:1625 W MOCKINGBIRD LN
Mailing Address - Street 2:STE 315
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-5028
Mailing Address - Country:US
Mailing Address - Phone:214-951-9710
Mailing Address - Fax:214-276-1039
Practice Address - Street 1:5477 GLEN LAKES DR
Practice Address - Street 2:STE 135
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-0946
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:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00519999OtherTHIN
TX1065300001Medicare NSC