Provider Demographics
NPI:1427096163
Name:ABLE MEDICAL PRODUCTS, INC
Entity type:Organization
Organization Name:ABLE MEDICAL PRODUCTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:JEANETTE
Authorized Official - Last Name:COUCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-572-9853
Mailing Address - Street 1:107 W 20TH ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:TX
Mailing Address - Zip Code:75455-2323
Mailing Address - Country:US
Mailing Address - Phone:903-572-9853
Mailing Address - Fax:903-572-9846
Practice Address - Street 1:107 W 20TH ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:TX
Practice Address - Zip Code:75455-2323
Practice Address - Country:US
Practice Address - Phone:903-572-9853
Practice Address - Fax:903-572-9846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX503769OtherBLUE CROSS/BLUE SHIELD
TX0149150001Medicare NSC