Provider Demographics
NPI:1528114881
Name:STENO MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:STENO MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:IFEANYICHUKWU,
Authorized Official - Middle Name:
Authorized Official - Last Name:OJOBOR,
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-321-9522
Mailing Address - Street 1:8035 E R L THORNTON FWY
Mailing Address - Street 2:STE 408
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-7018
Mailing Address - Country:US
Mailing Address - Phone:214-321-9522
Mailing Address - Fax:214-321-9542
Practice Address - Street 1:8035 E R L THORNTON FWY
Practice Address - Street 2:STE 408
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-7018
Practice Address - Country:US
Practice Address - Phone:214-321-9522
Practice Address - Fax:214-321-9542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0093763332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5875130001Medicare NSC