Provider Demographics
NPI:1982095022
Name:ECHOMED DISTRIBUTORS, LLC
Entity Type:Organization
Organization Name:ECHOMED DISTRIBUTORS, LLC
Other - Org Name:PRINCIPLE DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-205-8595
Mailing Address - Street 1:16840 BUCCANEER LN STE 242
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2507
Mailing Address - Country:US
Mailing Address - Phone:832-205-8595
Mailing Address - Fax:
Practice Address - Street 1:16840 BUCCANEER LN STE 242
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058
Practice Address - Country:US
Practice Address - Phone:832-205-8595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-11
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies