MEDICARE: CAPITAL 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	1000680	TX

General Provider Information

NPI Number	:	1336437615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL DME LLC

Provider Business Mailing Address
First Line	:	4811 BRIDGEVILLE LN
Second Line	:	TX
City	:	SPRING
State	:	TX
Zip	:	77388-2845
Country	:	US
Telephone Number	:	832-216-0223
Fax Number	:

Provider Business Practice Location Address
First Line	:	4811 BRIDGEVILLE LN
Second Line	:	TX
City	:	SPRING
State	:	TX
Zip	:	77388-2845
Country	:	US
Telephone Number	:	832-216-0223
Fax Number	:

Authorized Official
Title or Position	:	OWNER AND PRESIDENT
Name	:	MR. NICHOLAS WILLIAMS
Credential	:
Telephone Number	:	832-216-0223

Provider Enumeration Date	:	07/20/2011
Last Update Date	:	07/20/2011

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