Provider Demographics
NPI:1427362953
Name:EBAI HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:EBAI HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-534-1945
Mailing Address - Street 1:1601 OSPREY DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-8818
Mailing Address - Country:US
Mailing Address - Phone:214-534-1945
Mailing Address - Fax:
Practice Address - Street 1:1601 OSPREY DR
Practice Address - Street 2:SUITE 106
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-8818
Practice Address - Country:US
Practice Address - Phone:214-534-1945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No347C00000XTransportation ServicesPrivate Vehicle