Provider Demographics
NPI:1093753717
Name:FAMILY MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:FAMILY MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BIOLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADEGBUYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-690-6777
Mailing Address - Street 1:2917 BELT LINE RD
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-7019
Mailing Address - Country:US
Mailing Address - Phone:972-690-6777
Mailing Address - Fax:972-690-6337
Practice Address - Street 1:2917 BELT LINE RD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-7019
Practice Address - Country:US
Practice Address - Phone:972-690-6777
Practice Address - Fax:972-690-6337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165549001Medicaid
TX165549002Medicaid
TX4949990001Medicare ID - Type Unspecified