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General NPI Number Information
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NPI Number | 1831741446
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Entity Type | Organization
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Legal Business Name | UNITED DME
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Dates
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Enumeration Date | 07/13/2019
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Last Update Date | 07/13/2019
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Provider Practice Location Address
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Address Line | 10880 JOHN W. ELLIOTT DR SUITE 700
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City | FRISCO
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State | TX
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Zip | 75033-3274
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Country | US
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Telephone | 214-618-0284
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Fax | 727-619-1610
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Provider Business Mailing Address
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Address Line | 10880 JOHN W. ELLIOTT DR SUITE 700
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City | FRISCO
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State | TX
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Zip | 75033-3274
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Country | US
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Telephone | 214-618-0284
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Fax | 727-619-1610
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Authorized Official
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Title or Position | CREDENTIALING - BUSINESS MANAGER
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Name | ANDRA BOGDAN
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Credential |
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Telephone | 214-618-0284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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