Provider Demographics
NPI:1184789307
Name:SUNVIEW MEDICAL EQUIPMENT & SUPPLY INC.
Entity type:Organization
Organization Name:SUNVIEW MEDICAL EQUIPMENT & SUPPLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:IJEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-878-1412
Mailing Address - Street 1:508 HICKORY CIR
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-4808
Mailing Address - Country:US
Mailing Address - Phone:972-617-5768
Mailing Address - Fax:
Practice Address - Street 1:5518 DYER ST STE 2
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5072
Practice Address - Country:US
Practice Address - Phone:214-692-4900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0092766332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX190489001Medicaid
TX190469002Medicaid
TX190489001Medicaid