Provider Demographics
NPI:1992962062
Name:A Z VYTTEL MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:A Z VYTTEL MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PROMISE
Authorized Official - Middle Name:NDU
Authorized Official - Last Name:ARINZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-855-1054
Mailing Address - Street 1:PO BOX 870017
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75187-0017
Mailing Address - Country:US
Mailing Address - Phone:972-698-8822
Mailing Address - Fax:972-698-8836
Practice Address - Street 1:3201 I-30
Practice Address - Street 2:SUITE B-2
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-2605
Practice Address - Country:US
Practice Address - Phone:972-698-8822
Practice Address - Fax:972-698-8836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-17
Last Update Date:2008-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies