MEDICARE: UNION MEDICAL SUPPLIES & EQUIPMENT, LLC

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	1001071

General Provider Information

NPI Number	:	1629319041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNION MEDICAL SUPPLIES & EQUIPMENT, LLC

Provider Business Mailing Address
First Line	:	327 CEDAR CREEK DR
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75137-3936
Country	:	US
Telephone Number	:	469-531-2507
Fax Number	:	888-745-9691

Provider Business Practice Location Address
First Line	:	327 CEDAR CREEK DR
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75137-3936
Country	:	US
Telephone Number	:	469-531-2507
Fax Number	:	888-745-9691

Authorized Official
Title or Position	:	DIRECTOR
Name	:	LYDIA BANKHEAD
Credential	:
Telephone Number	:	469-531-2507

Provider Enumeration Date	:	03/11/2013
Last Update Date	:	03/11/2013

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