Provider Demographics
NPI:1619786274
Name:MID-CITIES HOME MEDICAL DELIVERY SERVICES,LLC
Entity type:Organization
Organization Name:MID-CITIES HOME MEDICAL DELIVERY SERVICES,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:REEP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-249-7585
Mailing Address - Street 1:3017 RED HAWK DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-7634
Mailing Address - Country:US
Mailing Address - Phone:972-249-7585
Mailing Address - Fax:866-273-7456
Practice Address - Street 1:3017 RED HAWK DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-7634
Practice Address - Country:US
Practice Address - Phone:972-249-7585
Practice Address - Fax:866-273-7456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies