Provider Demographics
NPI:1992999379
Name:PREMIUM DME SERVICES INC
Entity type:Organization
Organization Name:PREMIUM DME SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:EDUOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-662-0508
Mailing Address - Street 1:6006 BELLAIRE BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-5404
Mailing Address - Country:US
Mailing Address - Phone:713-662-0508
Mailing Address - Fax:866-587-4573
Practice Address - Street 1:6006 BELLAIRE BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-5404
Practice Address - Country:US
Practice Address - Phone:713-662-0508
Practice Address - Fax:866-587-4573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0098701332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6004590001Medicare NSC