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?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies