Provider Demographics
NPI:1316276165
Name:MEDICAL CONSULTING AGENCY
Entity type:Organization
Organization Name:MEDICAL CONSULTING AGENCY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:HALL-BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-872-0281
Mailing Address - Street 1:1777 WESTERHAM DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232-3356
Mailing Address - Country:US
Mailing Address - Phone:214-872-0281
Mailing Address - Fax:214-276-7577
Practice Address - Street 1:1777 WESTERHAM DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-3356
Practice Address - Country:US
Practice Address - Phone:214-872-0281
Practice Address - Fax:214-276-7577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies