Provider Demographics
NPI:1457308959
Name:MID-CITIES HOME MEDICAL EQUIPMENT CO INC
Entity Type:Organization
Organization Name:MID-CITIES HOME MEDICAL EQUIPMENT CO INC
Other - Org Name:MID CITIES HOME MEDICAL HOMEPOINT HOME MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-641-7445
Mailing Address - Street 1:3011 RED HAWK DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052
Mailing Address - Country:US
Mailing Address - Phone:972-641-7445
Mailing Address - Fax:972-641-7465
Practice Address - Street 1:3011 RED HAWK DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052
Practice Address - Country:US
Practice Address - Phone:972-641-7445
Practice Address - Fax:972-641-7465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX531150OtherBC/BS
TX530511OtherBC/BS
1244780002Medicare NSC
TX530511OtherBC/BS