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NPI Code Detail

MEDICARE: FIRST CARE MEDICAL EQUIPMENT, LLP

MEDICARE: FIRST CARE MEDICAL EQUIPMENT, LLP
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
1332B00000XDurable Medical Equipment & Medical Supplies
2332BC3200XCustomized Equipment (DME)TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1530531OTHERTXBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457393787
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST CARE MEDICAL EQUIPMENT, LLP
Provider Business Mailing Address
First Line : 5470 E LOOP 820 S
Second Line : SUITE 110
City : FORT WORTH
State : TX
Zip : 76119-6504
Country : US
Telephone Number : 817-536-6877
Fax Number : 817-535-5233
Provider Business Practice Location Address
First Line : 5470 E LOOP 820 S
Second Line : SUITE 110
City : FORT WORTH
State : TX
Zip : 76119-6504
Country : US
Telephone Number : 817-536-6877
Fax Number : 817-535-5233
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. JERRIE REESE
Credential :
Telephone Number : 817-536-6877
Provider Enumeration Date : 06/12/2006
Last Update Date : 06/29/2011

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Directions to “FIRST CARE MEDICAL EQUIPMENT, LLP ” Practice Location

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