Provider Demographics
NPI:1003045147
Name:DEKATS INC
Entity Type:Organization
Organization Name:DEKATS INC
Other - Org Name:DEKATSMEDICAL EQUIPMENT SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:TADESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-776-9200
Mailing Address - Street 1:8300 BISSONNET ST STE 460A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-3914
Mailing Address - Country:US
Mailing Address - Phone:281-776-9220
Mailing Address - Fax:
Practice Address - Street 1:8300 BISSONNET ST SUITE 460A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074
Practice Address - Country:US
Practice Address - Phone:281-776-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
TX165573001332B00000X
TX165573002332B00000X
TX165573003332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165573002Medicaid
TX165573003Medicaid
TX165573001Medicaid