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EDDIE ETTE NPI 1548205313


NPI Information

NPI: 1548205313
Provider Name: EDDIE ETTE
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
705 E ABRAM ST
SUITE 100
ARLINGTON, TX
ZIP 76010
Phone: (817) 200-2363
Get Directions

EDDIE ETTE is a durable medical equipment medical supplies in Arlington, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. EDDIE ETTE NPI is 1548205313. The provider is registered as an organization entity type.

The provider's business location address is:

705 E ABRAM ST
SUITE 100
ARLINGTON, TX
ZIP 76010-240
Phone: (817) 200-2363
Fax: (817) 200-2356

The provider's authorized official is Eddie Ette .
The authorized official title is Business Owner and has the following contact phone number (817) 200-2363.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 9/13/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment0063143TEXASNo
2332B00000XDurable Medical Equipment & Medical Supplies332B00000XTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14596650001MEDICARE NSCTEXAS
2158114201OTHERTEXASMEDICAID CCP
34596650001MEDICARE PINTEXAS
4158114202MEDICAIDTEXAS
5531655OTHERTEXASBLUE CROSS NUMBER
617089399OTHERTEXASEVERCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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