Provider Demographics
NPI:1679454474
Name:PRESTIGE DME
Entity type:Organization
Organization Name:PRESTIGE DME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN WAYNE ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:STELZIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-500-0898
Mailing Address - Street 1:3200 S CARRIER PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-6053
Mailing Address - Country:US
Mailing Address - Phone:469-569-2793
Mailing Address - Fax:972-364-1245
Practice Address - Street 1:3200 S CARRIER PKWY STE 201
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-6053
Practice Address - Country:US
Practice Address - Phone:469-569-2793
Practice Address - Fax:972-364-1245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies