ENTERRA MEDICAL DIAGNOSTICS LLC NPI 1376629329

NPI Information

  • NPI: 1376629329
  • Provider Name: ENTERRA MEDICAL DIAGNOSTICS LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 5787 S HAMPTON RD
    STE 255
    DALLAS, TX
    ZIP 75232
  • Phone: (214) 330-7030

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NPI Details

ENTERRA MEDICAL DIAGNOSTICS 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. ENTERRA MEDICAL DIAGNOSTICS LLC NPI is 1376629329. The provider is registered as an organization entity type.

The provider's business location address is:

5787 S HAMPTON RD
STE 255
DALLAS, TX
ZIP 75232-255
Phone: (214) 330-7030
Fax: (214) 330-7073

The provider's authorized official is Paul Kaluarachi .
The authorized official title is Owner and has the following contact phone number (214) 467-7434.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 3/21/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies0076258TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15283850001MEDICARE ID-TYPE UNSPECIFIEDTEXASPROVIDER ID -PALMETTO GBA
2179148502MEDICAIDTEXAS
3179148501MEDICAIDTEXAS

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: 11/21/2025

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