Provider Demographics
NPI:1467429266
Name:ECONOMY MEDICAL RENTAL, INC
Entity Type:Organization
Organization Name:ECONOMY MEDICAL RENTAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:MOORE
Authorized Official - Last Name:FAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-364-3534
Mailing Address - Street 1:101 W SINTON ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:SINTON
Mailing Address - State:TX
Mailing Address - Zip Code:78387-2552
Mailing Address - Country:US
Mailing Address - Phone:361-364-3534
Mailing Address - Fax:361-364-5575
Practice Address - Street 1:101 W SINTON ST
Practice Address - Street 2:SUITE A
Practice Address - City:SINTON
Practice Address - State:TX
Practice Address - Zip Code:78387-2552
Practice Address - Country:US
Practice Address - Phone:361-364-3534
Practice Address - Fax:361-364-5575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-01
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX086621201Medicaid
TX086621201Medicaid
TX0307560001Medicare NSC