Provider Demographics
NPI: | 1952952699 |
---|---|
Name: | XMED OXYGEN AND MEDICAL EQUIPMENT INC. |
Entity Type: | Organization |
Organization Name: | XMED OXYGEN AND MEDICAL EQUIPMENT INC. |
Other - Org Name: | REPAIR XPRESS |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | RUSSELL |
Authorized Official - Middle Name: | SCOTT |
Authorized Official - Last Name: | PHILLIPS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 972-416-9991 |
Mailing Address - Street 1: | 15230 SURVEYOR BLVD |
Mailing Address - Street 2: | |
Mailing Address - City: | ADDISON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75001-4338 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 972-416-9991 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 4055 S ELIOT ST |
Practice Address - Street 2: | |
Practice Address - City: | ENGLEWOOD |
Practice Address - State: | CO |
Practice Address - Zip Code: | 80110-4396 |
Practice Address - Country: | US |
Practice Address - Phone: | 720-410-2858 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | XMED OXYGEN AND MEDICAL EQUIPMENT INC. |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2019-09-24 |
Last Update Date: | 2019-09-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |