Provider Demographics
NPI:1184921181
Name:HEALTHCARE PLUS SUPPLIES
Entity type:Organization
Organization Name:HEALTHCARE PLUS SUPPLIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:VIRGIL
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-386-6011
Mailing Address - Street 1:315 YORKTOWN ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-2048
Mailing Address - Country:US
Mailing Address - Phone:972-386-6011
Mailing Address - Fax:972-386-6022
Practice Address - Street 1:315 YORKTOWN ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-2048
Practice Address - Country:US
Practice Address - Phone:972-386-6011
Practice Address - Fax:972-386-6022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000316332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies