Provider Demographics
NPI:1417194838
Name:GLO AMEDS DME, LLC
Entity Type:Organization
Organization Name:GLO AMEDS DME, LLC
Other - Org Name:GLO AMEDS DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONTASHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-459-0677
Mailing Address - Street 1:PO BOX 450922
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77245-0922
Mailing Address - Country:US
Mailing Address - Phone:713-459-0677
Mailing Address - Fax:
Practice Address - Street 1:5722 GATEWOOD ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77053-2021
Practice Address - Country:US
Practice Address - Phone:713-459-0677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-08
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No251E00000XAgenciesHome Health