MEDICARE: MEDPOINT MEDICAL SUPPLIES & 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	1000458	TX

General Provider Information

NPI Number	:	1891097770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDPOINT MEDICAL SUPPLIES & EQUIPMENT, INC.

Provider Business Mailing Address
First Line	:	9535 FOREST LN
Second Line	:	SUITE 231
City	:	DALLAS
State	:	TX
Zip	:	75243-5900
Country	:	US
Telephone Number	:	972-861-5085
Fax Number	:	972-823-0799

Provider Business Practice Location Address
First Line	:	9535 FOREST LN
Second Line	:	SUITE 231
City	:	DALLAS
State	:	TX
Zip	:	75243-5900
Country	:	US
Telephone Number	:	972-861-5085
Fax Number	:	972-823-0799

Authorized Official
Title or Position	:	MANAGER
Name	:	PATRICK OKEREKE
Credential	:
Telephone Number	:	972-861-5085

Provider Enumeration Date	:	11/25/2010
Last Update Date	:	11/25/2010

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