Provider Demographics
NPI:1154797603
Name:MEDICAL HYPERBARIC, INC
Entity type:Organization
Organization Name:MEDICAL HYPERBARIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING DEPARTMENT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-890-7733
Mailing Address - Street 1:PO BOX 600040
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75360-0040
Mailing Address - Country:US
Mailing Address - Phone:214-890-7733
Mailing Address - Fax:
Practice Address - Street 1:13610 MIDWAY RD STE 224
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-4307
Practice Address - Country:US
Practice Address - Phone:214-890-7733
Practice Address - Fax:866-444-4205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty
No291U00000XLaboratoriesClinical Medical Laboratory
No305S00000XManaged Care OrganizationsPoint of ServiceGroup - Single Specialty