Provider Demographics
NPI:1033355961
Name:M & E MEDICAL SUPPLY, LLC
Entity Type:Organization
Organization Name:M & E MEDICAL SUPPLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IZUNDU
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:EKEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-396-5136
Mailing Address - Street 1:13999 GOLDMARK DR
Mailing Address - Street 2:SUITE 346
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-4234
Mailing Address - Country:US
Mailing Address - Phone:469-396-5136
Mailing Address - Fax:
Practice Address - Street 1:13999 GOLDMARK DR
Practice Address - Street 2:SUITE 346
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-4234
Practice Address - Country:US
Practice Address - Phone:469-396-5136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-24
Last Update Date:2008-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies