EXECUTIVE HEALTHCARE LLC NPI 1205173481

NPI Information

  • NPI: 1205173481
  • Provider Name: EXECUTIVE HEALTHCARE, LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: ALLIED TRI-MED
  • Address: 6303 FOREST PARK RD
    SUITE BLA 126
    DALLAS, TX
    ZIP 75235
  • Phone: (972) 432-6550

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NPI Details

EXECUTIVE HEALTHCARE, LLC is a durable medical equipment medical supplies in Dallas, 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. EXECUTIVE HEALTHCARE, LLC NPI is 1205173481. The provider is registered as an organization entity type.
The provider Is Doing Business As Allied Tri-med.

The provider's business location address is:

6303 FOREST PARK RD
SUITE BLA 126
DALLAS, TX
ZIP 75235
Phone: (972) 432-6550
Fax: (214) 261-2217

The provider's authorized official is Chandler Jackson .
The authorized official title is V.p and has the following contact phone number (972) 432-6550.

The enumeration date for this NPI number is 1/9/2013 and was last updated on 1/9/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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: 3/30/2025

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