Provider Demographics
NPI:1457337875
Name:DENTON MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:DENTON MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OKPO
Authorized Official - Middle Name:U
Authorized Official - Last Name:TORTI
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:940-382-0082
Mailing Address - Street 1:326 E MCKINNEY ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-4275
Mailing Address - Country:US
Mailing Address - Phone:940-382-0082
Mailing Address - Fax:940-383-4395
Practice Address - Street 1:326 E MCKINNEY ST
Practice Address - Street 2:SUITE B
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4275
Practice Address - Country:US
Practice Address - Phone:940-382-0082
Practice Address - Fax:940-383-4395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-17
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX170138502Medicaid
TX170138501Medicaid
TX532075OtherBCBS
TX170138501Medicaid