Provider Demographics
NPI:1639291040
Name:METRO MEDICAL EQUIPMENT, INC
Entity Type:Organization
Organization Name:METRO MEDICAL EQUIPMENT, INC
Other - Org Name:METRO MEDICAL EQUIPMENT, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAJI
Authorized Official - Middle Name:K
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-329-4400
Mailing Address - Street 1:949 W KEARNEY ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-8805
Mailing Address - Country:US
Mailing Address - Phone:972-329-4400
Mailing Address - Fax:
Practice Address - Street 1:949 W KEARNEY ST STE 100
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-8805
Practice Address - Country:US
Practice Address - Phone:972-329-4400
Practice Address - Fax:972-329-4441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-05
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204476332BX2000X
332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1639291040Medicaid