Ez Life Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EZ LIFE MEDICAL SUPPLIES

Practice address

101 S Coit Rd
Richardson, TX 75080-5743

Phone

(214) 450-0295

Fax

(214) 570-1620

NPI assigned

Oct 31, 2011

Last updated

Oct 31, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Hoss Ravandi

Title

Organizor

Phone

(214) 450-0295

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1194001495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4697 GLEN HEATHER DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750342185",
            "telephone_number": "214-415-2914",
            "fax_number": "214-570-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S COIT RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805743",
            "telephone_number": "214-450-0295",
            "fax_number": "214-570-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ LIFE MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "RAVANDI",
        "authorized_official_first_name": "HOSS",
        "authorized_official_title_or_position": "ORGANIZOR",
        "authorized_official_telephone_number": "214-450-0295",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Richardson, TX
• Providers in Richardson, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.