MEDICARE: ARBOR MEDICAL EQUIPMENT, 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	1001019	TX

General Provider Information

NPI Number	:	1730523507
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARBOR MEDICAL EQUIPMENT, INC.

Provider Business Mailing Address
First Line	:	11477 WOODLAND SPRINGS DR
Second Line	:	STE 130
City	:	FORT WORTH
State	:	TX
Zip	:	76244-7132
Country	:	US
Telephone Number	:	817-741-4331
Fax Number	:	817-741-4559

Provider Business Practice Location Address
First Line	:	11477 WOODLAND SPRINGS DR
Second Line	:	STE 130
City	:	FORT WORTH
State	:	TX
Zip	:	76244-7132
Country	:	US
Telephone Number	:	817-741-4331
Fax Number	:	817-741-4559

Authorized Official
Title or Position	:	CORPORATE SECRETARY
Name	:	MR. JEREMY CALICOTT
Credential	:
Telephone Number	:	817-741-4331

Provider Enumeration Date	:	04/24/2013
Last Update Date	:	04/28/2015

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