Healthcare Provider Details

I. General information

NPI: 1326591660
Provider Name (Legal Business Name): NMS DME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2016
Last Update Date: 05/05/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 S BARTON ST
GRAPEVINE TX
76051-5362
US

IV. Provider business mailing address

2 E 22ND ST STE 303
LOMBARD IL
60148-6106
US

V. Phone/Fax

Practice location:
  • Phone: 817-488-7351
  • Fax:
Mailing address:
  • Phone: 872-260-6633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number32060446385
License Number StateTX

VIII. Authorized Official

Name: SAUD SIDDIQUI
Title or Position: CEO
Credential: MD
Phone: 872-260-6633