Provider Demographics
NPI:1134353204
Name:DME INNOVATORS, LLC
Entity type:Organization
Organization Name:DME INNOVATORS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SONIER
Authorized Official - Suffix:
Authorized Official - Credentials:BBA
Authorized Official - Phone:903-746-4689
Mailing Address - Street 1:1805 S MOBBERLY AVE
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75602-3323
Mailing Address - Country:US
Mailing Address - Phone:903-753-0700
Mailing Address - Fax:903-753-0708
Practice Address - Street 1:1805 S MOBBERLY AVE
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75602-3323
Practice Address - Country:US
Practice Address - Phone:903-753-0700
Practice Address - Fax:903-753-0708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-05
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0107942332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies