MEDICARE: EKAETE I EKPO

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	0065836	TX

General Provider Information

NPI Number	:	1922037662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EKAETE I EKPO

Provider Business Mailing Address
First Line	:	7814 CALGARY LN
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-7349
Country	:	US
Telephone Number	:	817-557-8176
Fax Number	:	817-557-4931

Provider Business Practice Location Address
First Line	:	7814 CALGARY LN
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-7349
Country	:	US
Telephone Number	:	817-557-8176
Fax Number	:	817-557-4931

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	07/08/2007

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Directions to “ EKAETE I EKPO ” Practice Location

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