Provider Demographics
NPI:1316178841
Name:MID-CITIES HOME MEDICAL EQUIP. CO. INC.
Entity Type:Organization
Organization Name:MID-CITIES HOME MEDICAL EQUIP. CO. INC.
Other - Org Name:HOMEPOINT DME
Other - Org Type:Other Name
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BIGBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-641-7445
Mailing Address - Street 1:3011 RED HAWK DRIVE
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052
Mailing Address - Country:US
Mailing Address - Phone:972-641-7445
Mailing Address - Fax:972-641-7465
Practice Address - Street 1:6920 WOODWAY DRIVE
Practice Address - Street 2:
Practice Address - City:WOODWAY
Practice Address - State:TX
Practice Address - Zip Code:76712
Practice Address - Country:US
Practice Address - Phone:254-399-0029
Practice Address - Fax:254-399-9307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-31
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBEDDING-0010654332B00000X
TXFOOD&DRUG0036337332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX016886601Medicaid
TX530511OtherBCBS
TX531150OtherBCBS
TX531150OtherBCBS
TX1244780002Medicare NSC