=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457337875
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DENTON MEDICAL EQUIPMENT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/17/2005
-----------------------------------------------------
Last Update Date | 04/11/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 326 E MCKINNEY ST SUITE B
-----------------------------------------------------
City | DENTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76201-4275
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-382-0082
-----------------------------------------------------
Fax | 940-383-4395
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 326 E MCKINNEY ST SUITE B
-----------------------------------------------------
City | DENTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76201-4275
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-382-0082
-----------------------------------------------------
Fax | 940-383-4395
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. OKPO U. TORTI
-----------------------------------------------------
Credential | CRT
-----------------------------------------------------
Telephone | 940-382-0082
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332BX2000X
-----------------------------------------------------
Taxonomy Name | Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------