Provider Demographics
NPI:1568477149
Name:XMED OXYGEN AND MEDICAL EQUIPMENT INC.
Entity Type:Organization
Organization Name:XMED OXYGEN AND MEDICAL EQUIPMENT INC.
Other - Org Name:REPAIR XPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-416-9991
Mailing Address - Street 1:15230 SURVEYOR BLVD
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-4338
Mailing Address - Country:US
Mailing Address - Phone:972-416-9991
Mailing Address - Fax:866-252-8830
Practice Address - Street 1:1000 N 3RD ST STE 3
Practice Address - Street 2:
Practice Address - City:MABANK
Practice Address - State:TX
Practice Address - Zip Code:75147-8100
Practice Address - Country:US
Practice Address - Phone:877-581-3733
Practice Address - Fax:866-252-8830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0066152332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4623550001Medicare NSC