Provider Demographics
NPI:1013027689
Name:ECONOMY MEDICAL RENTAL INC
Entity Type:Organization
Organization Name:ECONOMY MEDICAL RENTAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECETARY
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:FAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-364-3534
Mailing Address - Street 1:5945 MCARDLE RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-3490
Mailing Address - Country:US
Mailing Address - Phone:361-992-9430
Mailing Address - Fax:361-992-9438
Practice Address - Street 1:5945 MCARDLE RD
Practice Address - Street 2:SUITE 107
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-3490
Practice Address - Country:US
Practice Address - Phone:361-992-9430
Practice Address - Fax:361-992-9438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000672332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0307560002Medicare NSC