Provider Demographics
NPI:1679726491
Name:EMPOWERING COMMUNITY DEVELOPMENT DBA APPLE D.M.E MEDICAL SUPPLY
Entity Type:Organization
Organization Name:EMPOWERING COMMUNITY DEVELOPMENT DBA APPLE D.M.E MEDICAL SUPPLY
Other - Org Name:APPLE D.M.E MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:MURPHY
Authorized Official - Last Name:EMISSAH
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL ASSISTANT
Authorized Official - Phone:817-995-2175
Mailing Address - Street 1:7901 CAMERON RD
Mailing Address - Street 2:BLDG 3 SUITE 370
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-3831
Mailing Address - Country:US
Mailing Address - Phone:817-995-2175
Mailing Address - Fax:512-996-0035
Practice Address - Street 1:7901 CAMERON RD
Practice Address - Street 2:BLDG 3 SUITE 370
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-3831
Practice Address - Country:US
Practice Address - Phone:817-995-2175
Practice Address - Fax:512-996-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies