Provider Demographics
NPI:1710257894
Name:ALLIANCE DME, LLC
Entity Type:Organization
Organization Name:ALLIANCE DME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:BUCK
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:972-733-0392
Mailing Address - Street 1:9535 FOREST LN
Mailing Address - Street 2:SUITE # 100A
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-5900
Mailing Address - Country:US
Mailing Address - Phone:972-733-0392
Mailing Address - Fax:972-733-0997
Practice Address - Street 1:9535 FOREST LN
Practice Address - Street 2:SUITE # 100A
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-5900
Practice Address - Country:US
Practice Address - Phone:972-733-0392
Practice Address - Fax:972-733-0997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-06
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies