Provider Demographics
NPI:1922580257
Name:DURABLE MEDICAL EXPRESS LLC
Entity Type:Organization
Organization Name:DURABLE MEDICAL EXPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-460-6996
Mailing Address - Street 1:PO BOX 734293
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-4293
Mailing Address - Country:US
Mailing Address - Phone:210-460-6996
Mailing Address - Fax:
Practice Address - Street 1:4215 BELTWOOD PKWY STE 100
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75244-3235
Practice Address - Country:US
Practice Address - Phone:210-460-6996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-04
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies