Provider Demographics
NPI:1649596396
Name:THE MEDICAL EQUIPMENT GROUP, INC.
Entity Type:Organization
Organization Name:THE MEDICAL EQUIPMENT GROUP, INC.
Other - Org Name:PATIENT360 DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:W
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-763-1320
Mailing Address - Street 1:PO BOX 1286
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-1286
Mailing Address - Country:US
Mailing Address - Phone:214-763-1320
Mailing Address - Fax:214-291-2562
Practice Address - Street 1:5915 MURPHY RD STE 100
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75048-2825
Practice Address - Country:US
Practice Address - Phone:214-763-1320
Practice Address - Fax:214-291-2562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty