Provider Demographics
NPI:1427082718
Name:SINA MEDICAL SUPPLY SERVICES INC
Entity type:Organization
Organization Name:SINA MEDICAL SUPPLY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:NZERIBE
Authorized Official - Last Name:ASONIBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-293-0661
Mailing Address - Street 1:104 S BROAD STR
Mailing Address - Street 2:SUITE F
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104
Mailing Address - Country:US
Mailing Address - Phone:972-293-0661
Mailing Address - Fax:972-293-0360
Practice Address - Street 1:104 S BROAD STR
Practice Address - Street 2:SUITE F
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104
Practice Address - Country:US
Practice Address - Phone:972-293-0661
Practice Address - Fax:972-293-0360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0070999332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies