Provider Demographics
NPI:1841286929
Name:XMED OXYGEN AND MEDICAL EQUIPMENT INC.
Entity type:Organization
Organization Name:XMED OXYGEN AND MEDICAL EQUIPMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-416-9991
Mailing Address - Street 1:15230 SURVEYOR BLVD
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-4338
Mailing Address - Country:US
Mailing Address - Phone:972-416-9991
Mailing Address - Fax:866-252-8830
Practice Address - Street 1:15230 SURVEYOR BLVD
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-4338
Practice Address - Country:US
Practice Address - Phone:972-416-5502
Practice Address - Fax:972-416-6091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163193902Medicaid
TX531320OtherBLUE CROSS BLUE SHIELD
TX163193901Medicaid