Provider Demographics
NPI:1841015476
Name:ANDY MEDICAL EQUIPMENT INC
Entity type:Organization
Organization Name:ANDY MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:BRADFORD
Authorized Official - Last Name:IVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-272-3380
Mailing Address - Street 1:9535 FOREST LN STE 215D
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6194
Mailing Address - Country:US
Mailing Address - Phone:214-272-3380
Mailing Address - Fax:214-643-6229
Practice Address - Street 1:9535 FOREST LN STE 215D
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6194
Practice Address - Country:US
Practice Address - Phone:214-272-3380
Practice Address - Fax:214-643-6229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies