ETHEREAL EMPIRE LLC NPI 1659133734

NPI Information

  • NPI: 1659133734
  • Provider Name: ETHEREAL EMPIRE LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 1501 PERDIDO DR
    EULESS, TX
    ZIP 76039
  • Phone: (817) 785-9479

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NPI Details

ETHEREAL EMPIRE LLC is a durable medical equipment medical supplies in Euless, 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. ETHEREAL EMPIRE LLC NPI is 1659133734. The provider is registered as an organization entity type.

The provider's business location address is:

1501 PERDIDO DR
EULESS, TX
ZIP 76039-415
Phone: (817) 785-9479

The provider's authorized official is Khatira Ali .
The authorized official title is Ceo and has the following contact phone number (817) 785-9479.

The enumeration date for this NPI number is 1/25/2024 and was last updated on 1/25/2024.

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: 11/21/2025

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