MEDICARE: ASSURE MEDICAL EQUIPMENT AND SUPPLIES,INC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	32019147852	OTHER	TX	TEXAS STATE COMPTROLLER OFFICE.
2	800614073	OTHER	TX	OFFICE OF THE SECRETARY OF STATE.

General Provider Information

NPI Number	:	1679716112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSURE MEDICAL EQUIPMENT AND SUPPLIES,INC

Provider Business Mailing Address
First Line	:	1704 N HAMPTON RD
Second Line	:	SUITE 207
City	:	DESOTO
State	:	TX
Zip	:	75115-8623
Country	:	US
Telephone Number	:	214-710-4899
Fax Number	:

Provider Business Practice Location Address
First Line	:	1704 N HAMPTON RD
Second Line	:	SUITE 207
City	:	DESOTO
State	:	TX
Zip	:	75115-8623
Country	:	US
Telephone Number	:	214-710-4899
Fax Number	:

Authorized Official
Title or Position	:	DIR OF OPERATIONS
Name	:	ELIZABETH OPALEYE
Credential	:
Telephone Number	:	214-710-4899

Provider Enumeration Date	:	04/14/2009
Last Update Date	:	09/23/2009

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Directions to “ASSURE MEDICAL EQUIPMENT AND SUPPLIES,INC ” Practice Location

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