MEDICARE: ANCHOR MEDICAL EQUIPMENT, INC.

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	0056567	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972651354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANCHOR MEDICAL EQUIPMENT, INC.

Provider Business Mailing Address
First Line	:	1030 W PIONEER PKWY
Second Line	:	SUITE 200
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6331
Country	:	US
Telephone Number	:	817-461-6328
Fax Number	:	817-303-8568

Provider Business Practice Location Address
First Line	:	1030 W PIONEER PKWY
Second Line	:	SUITE 200
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6331
Country	:	US
Telephone Number	:	817-461-6328
Fax Number	:	817-303-8568

Authorized Official
Title or Position	:	OWNER
Name	:	THEAN KOAY
Credential	:
Telephone Number	:	817-461-6328

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	11/14/2008

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