Provider Demographics
NPI:1679716112
Name:ASSURE MEDICAL EQUIPMENT AND SUPPLIES,INC
Entity type:Organization
Organization Name:ASSURE MEDICAL EQUIPMENT AND SUPPLIES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:OPALEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-710-4899
Mailing Address - Street 1:1704 N HAMPTON RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-8623
Mailing Address - Country:US
Mailing Address - Phone:214-710-4899
Mailing Address - Fax:
Practice Address - Street 1:1704 N HAMPTON RD
Practice Address - Street 2:SUITE 207
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-8623
Practice Address - Country:US
Practice Address - Phone:214-710-4899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-14
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX32019147852OtherTEXAS STATE COMPTROLLER OFFICE.
TX800614073OtherOFFICE OF THE SECRETARY OF STATE.
TX800614073OtherOFFICE OF THE SECRETARY OF STATE.