Provider Demographics
NPI:1871617092
Name:DALMEDICS INC
Entity type:Organization
Organization Name:DALMEDICS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:UZOMA
Authorized Official - Last Name:DURUJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-234-9555
Mailing Address - Street 1:PO BOX 744074
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75374-4074
Mailing Address - Country:US
Mailing Address - Phone:972-234-9555
Mailing Address - Fax:972-234-2074
Practice Address - Street 1:940 E BELT LINE RD
Practice Address - Street 2:SUITE 126
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-3745
Practice Address - Country:US
Practice Address - Phone:972-234-9555
Practice Address - Fax:972-234-2074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0059310332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150441702Medicaid
TX150441701Medicaid
TX150441702Medicaid