Provider Demographics
NPI:1346425295
Name:DBM GENERAL SUPPLIES
Entity type:Organization
Organization Name:DBM GENERAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:EDET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-517-6765
Mailing Address - Street 1:6007 FINANCIAL PLZ STE 4B
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71129-2675
Mailing Address - Country:US
Mailing Address - Phone:713-517-6765
Mailing Address - Fax:
Practice Address - Street 1:6007 FINANCIAL PLZ STE 4B
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71129-2675
Practice Address - Country:US
Practice Address - Phone:713-517-6765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3751331332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies