Provider Demographics
NPI:1699503276
Name:WOORI MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:WOORI MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YOUNG
Authorized Official - Middle Name:S
Authorized Official - Last Name:KANG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-982-2228
Mailing Address - Street 1:2665 VILLA CREEK DR STE 127
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7320
Mailing Address - Country:US
Mailing Address - Phone:972-982-2228
Mailing Address - Fax:972-820-5989
Practice Address - Street 1:2665 VILLA CREEK DR STE 127
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-7320
Practice Address - Country:US
Practice Address - Phone:972-982-2228
Practice Address - Fax:972-820-5989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies