Organization Active NPI

Ebie Community Medical,PLLC

  • Durable Medical Equipment & Medical Supplies
  • Desoto, TX
National Provider Identifier
1205923356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EBIE COMMUNITY MEDICAL,PLLC
Practice address
1670 N Hampton Rd
Suite 102
Desoto, TX 75115-8302
Phone
(972) 224-3434
Fax
(972) 224-3442
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joli Angel Robinson
Title
Ceo
Phone
(972) 224-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1670 N Hampton Rd
Suite 102
Desoto, TX 75115-8302

Mailing address

1670 N Hampton Rd
Suite 102
Desoto, TX 75115-8302
Phone (972) 224-3434

National Provider Directory

National Provider Directory

Locations

1670 N Hampton Rd
Ste 102
Desoto, TX 75115
Phone (972) 224-3434

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205923356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 N HAMPTON RD",
            "address_2": "SUITE 102",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158302",
            "telephone_number": "972-224-3434",
            "fax_number": "972-224-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 N HAMPTON RD",
            "address_2": "SUITE 102",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158302",
            "telephone_number": "972-224-3434",
            "fax_number": "972-224-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBIE COMMUNITY MEDICAL,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JOLI",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-224-3434"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.