Provider Demographics
NPI:1467876136
Name:ELITE DURABLE MEDICAL EQUIPMENT, LLC
Entity Type:Organization
Organization Name:ELITE DURABLE MEDICAL EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DENKE
Authorized Official - Suffix:IV
Authorized Official - Credentials:DC
Authorized Official - Phone:281-993-2122
Mailing Address - Street 1:1100B S FRIENDSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-4825
Mailing Address - Country:US
Mailing Address - Phone:281-993-2122
Mailing Address - Fax:281-993-2123
Practice Address - Street 1:1100B S FRIENDSWOOD DR
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-4825
Practice Address - Country:US
Practice Address - Phone:281-993-2122
Practice Address - Fax:281-993-2123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-14
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1001301332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies