Provider Demographics
NPI:1902103690
Name:NED MEDICAL EQUIPMENT AND SUPLIES INC
Entity Type:Organization
Organization Name:NED MEDICAL EQUIPMENT AND SUPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:C
Authorized Official - Last Name:ECHEBELEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-441-8683
Mailing Address - Street 1:2307 OAK LN
Mailing Address - Street 2:SUITE 225
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-4885
Mailing Address - Country:US
Mailing Address - Phone:972-262-0903
Mailing Address - Fax:972-262-1363
Practice Address - Street 1:7022 CLOVERGLEN DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75249-1432
Practice Address - Country:US
Practice Address - Phone:469-441-8683
Practice Address - Fax:972-283-4548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-16
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000501332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXNONEMedicaid