Provider Demographics
NPI:1275377830
Name:PRO HEALTH DME SOLUTIONS LLC
Entity type:Organization
Organization Name:PRO HEALTH DME SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PANJWANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-268-6019
Mailing Address - Street 1:3939 BELT LINE RD STE 400A
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-4323
Mailing Address - Country:US
Mailing Address - Phone:469-268-6019
Mailing Address - Fax:
Practice Address - Street 1:3939 BELT LINE RD STE 400A
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-4323
Practice Address - Country:US
Practice Address - Phone:469-268-6019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies