Provider Demographics
NPI:1679656896
Name:ACCORD MEDICAL EQUIPMENT AND SUPPLIES, INC
Entity Type:Organization
Organization Name:ACCORD MEDICAL EQUIPMENT AND SUPPLIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:D
Authorized Official - Last Name:DEES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-564-0402
Mailing Address - Street 1:2805 W ARKANSAS LN STE 301
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-5729
Mailing Address - Country:US
Mailing Address - Phone:682-564-0402
Mailing Address - Fax:682-564-0404
Practice Address - Street 1:2805 W ARKANSAS LN STE 301
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-5729
Practice Address - Country:US
Practice Address - Phone:682-564-0402
Practice Address - Fax:682-564-0404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0552480001Medicare NSC