MEDICAL EDGE HEALTHCARE GROUP PA NPI 1780825794

NPI Information

MEDICAL EDGE HEALTHCARE GROUP PA is a durable medical equipment medical supplies in Fort Worth, 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. MEDICAL EDGE HEALTHCARE GROUP PA NPI is 1780825794. The provider is registered as an organization entity type.
The provider Is Doing Business As Kyle Hoogendoorn Dpm.

The provider's business location address is:

1001 12TH AVE STE 160
FORT WORTH, TX
ZIP 76104-926
Phone: (817) 336-1189
Fax: (817) 877-5665

The provider's authorized official is Clay Heighten .
The authorized official title is President and has the following contact phone number (972) 739-3001.

The enumeration date for this NPI number is 3/20/2009 and was last updated on 5/26/2009.

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:

Other Identifiers

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

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