Provider Demographics
NPI:1548430002
Name:DYNACARE MEDICAL EQUIPMENT AND SUPPLIES COMPANY
Entity Type:Organization
Organization Name:DYNACARE MEDICAL EQUIPMENT AND SUPPLIES COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NDON
Authorized Official - Middle Name:N
Authorized Official - Last Name:EMAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-771-0261
Mailing Address - Street 1:6300 HILLCROFT ST
Mailing Address - Street 2:SUITE 490 B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-3006
Mailing Address - Country:US
Mailing Address - Phone:713-771-0261
Mailing Address - Fax:713-484-8275
Practice Address - Street 1:6300 HILLCROFT ST
Practice Address - Street 2:SUITE 490 B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-3006
Practice Address - Country:US
Practice Address - Phone:713-771-0261
Practice Address - Fax:713-484-8275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies