Provider Demographics
NPI:1144541319
Name:TEXAS DME SERVICES
Entity type:Organization
Organization Name:TEXAS DME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HADJESMAILI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-607-5603
Mailing Address - Street 1:13999 GOLDMARK DR
Mailing Address - Street 2:SUITE 370
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-4234
Mailing Address - Country:US
Mailing Address - Phone:214-570-0670
Mailing Address - Fax:214-570-0675
Practice Address - Street 1:13999 GOLDMARK DR
Practice Address - Street 2:SUITE 370
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-4234
Practice Address - Country:US
Practice Address - Phone:214-570-0670
Practice Address - Fax:214-570-0675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-22
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000369332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6465920001Medicare NSC