NPI 1801130265

Ani Cdsa Limited Liability Company

Organisation Supports Brokerage Agency Desoto, TX

Practice location

Address: 1145 Ranch Valley Dr, Desoto, TX 75115-3524
Phone: (972) 228-4100
Fax: (972) 228-4100

Authorised official

Name: Oritsebemigho Edegbele
Title: Administrator
Phone: (972) 228-4100

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in Texas →

Registry record

NPI: 1801130265
Entity type: Organization
NPI issued: 23 Nov 2012
Record last updated: 23 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.