MEDICARE: E & K HOME IMPROVEMENTS

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	332BC3200X	Customized Equipment (DME)	1136830	TX

General Provider Information

NPI Number	:	1568764082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E & K HOME IMPROVEMENTS

Provider Business Mailing Address
First Line	:	3704 JUDGE DUPREE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75241-6024
Country	:	US
Telephone Number	:	214-607-3965
Fax Number	:

Provider Business Practice Location Address
First Line	:	3704 JUDGE DUPREE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75241-6024
Country	:	US
Telephone Number	:	214-607-3965
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KIETH L PHILLIPS
Credential	:
Telephone Number	:	214-607-3965

Provider Enumeration Date	:	12/04/2010
Last Update Date	:	12/04/2010

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Directions to “E & K HOME IMPROVEMENTS ” Practice Location

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