Provider Demographics
NPI:1538169826
Name:MED-EQUIP, INC
Entity type:Organization
Organization Name:MED-EQUIP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:POLLARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-479-3330
Mailing Address - Street 1:PO BOX 820103
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-0103
Mailing Address - Country:US
Mailing Address - Phone:817-479-3330
Mailing Address - Fax:817-840-7751
Practice Address - Street 1:5205 DAVIS BLVD STE G
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-6881
Practice Address - Country:US
Practice Address - Phone:817-479-3330
Practice Address - Fax:817-840-7751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TX1000519332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX104643100OtherFIRSTCARE
TX087450501Medicaid
516201OtherBC/BS
016193701OtherDMEH
NMT1081Medicaid
016193701OtherDMEH
TX104643100OtherFIRSTCARE