Provider Demographics
NPI:1184786436
Name:ADVANCED MEDEQUIP AND SUPPLIES LTD
Entity type:Organization
Organization Name:ADVANCED MEDEQUIP AND SUPPLIES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OKEY
Authorized Official - Middle Name:F
Authorized Official - Last Name:NWAGBARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-479-1005
Mailing Address - Street 1:331 MELROSE DR
Mailing Address - Street 2:SUITE #106
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4405
Mailing Address - Country:US
Mailing Address - Phone:972-479-1005
Mailing Address - Fax:972-479-1854
Practice Address - Street 1:331 MELROSE DR
Practice Address - Street 2:SUITE #106
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4405
Practice Address - Country:US
Practice Address - Phone:972-479-1005
Practice Address - Fax:972-479-1854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0092679332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment