Provider Demographics
NPI:1124240346
Name:ABC MEDICAL EQUIPMENT INC.
Entity type:Organization
Organization Name:ABC MEDICAL EQUIPMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-341-6307
Mailing Address - Street 1:4100 AVENUE I
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-3954
Mailing Address - Country:US
Mailing Address - Phone:281-341-6307
Mailing Address - Fax:281-341-5211
Practice Address - Street 1:4100 AVENUE I
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-3954
Practice Address - Country:US
Practice Address - Phone:281-341-6307
Practice Address - Fax:281-341-5211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0000513062OtherBCBSTX
TX015854501Medicaid
TX0457790001Medicare NSC
1124240346Medicare NSC
TX0000513062OtherBCBSTX
C08459872Medicare UPIN