MEDICARE: EZ DME, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1013309152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EZ DME, LLC

Provider Business Mailing Address
First Line	:	7504 SAN JACINTO PL
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-3233
Country	:	US
Telephone Number	:	972-947-4140
Fax Number	:	888-876-4170

Provider Business Practice Location Address
First Line	:	7504 SAN JACINTO PL
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-3233
Country	:	US
Telephone Number	:	972-947-4140
Fax Number	:	888-876-4170

Authorized Official
Title or Position	:	MEMBER
Name	:	AKASH JAIN
Credential	:
Telephone Number	:	972-837-0232

Provider Enumeration Date	:	02/26/2015
Last Update Date	:	02/26/2015

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Directions to “EZ DME, LLC ” Practice Location

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