GENOA HEALTHCARE, LLC
Medical Equipment Supplier Yellow Pages
Dallas, Texas
Provider NPI: 1306168786
Organization Information:Organization Name: GENOA HEALTHCARE, LLC
Practice Location:
9708 SKILLMAN ST DALLAS, TX 75243 US
Tel: 214-553-6136 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
9708 SKILLMAN ST DALLAS, TX 75243 US
Tel: 214-553-6136 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336L0003X | Suppliers Pharmacy Long Term Care Pharmacy | TX | 26803 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2123912 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin