Provider Demographics
NPI:1457393787
Name:FIRST CARE MEDICAL EQUIPMENT, LLP
Entity Type:Organization
Organization Name:FIRST CARE MEDICAL EQUIPMENT, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JERRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-536-6877
Mailing Address - Street 1:5470 E LOOP 820 S
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76119-6504
Mailing Address - Country:US
Mailing Address - Phone:817-536-6877
Mailing Address - Fax:817-535-5233
Practice Address - Street 1:5470 E LOOP 820 S
Practice Address - Street 2:SUITE 110
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76119-6504
Practice Address - Country:US
Practice Address - Phone:817-536-6877
Practice Address - Fax:817-535-5233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TX332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX530531OtherBLUE CROSS BLUE SHIELD
TX010839101Medicaid
TX016703301Medicaid
TX016703301Medicaid