Provider Demographics
NPI:1861752966
Name:AOC-DME CORP
Entity type:Organization
Organization Name:AOC-DME CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:NIKITA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-532-5656
Mailing Address - Street 1:PO BOX 577
Mailing Address - Street 2:
Mailing Address - City:HOWE
Mailing Address - State:TX
Mailing Address - Zip Code:75459-0577
Mailing Address - Country:US
Mailing Address - Phone:903-532-5656
Mailing Address - Fax:903-532-5665
Practice Address - Street 1:13601 PRESTON RD
Practice Address - Street 2:SUITE 209
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-4911
Practice Address - Country:US
Practice Address - Phone:214-905-9881
Practice Address - Fax:214-905-9889
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AOC-DME CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-22
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies