Active NPI
Oyo Bassey Eyo
- Durable Medical Equipment & Medical Supplies
- Garland, TX
National Provider Identifier
1396964490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0097030
- Legal business name
- OYO BASSEY EYO
- Practice address
- 4529 Forest LN
Suite 102
Garland, TX 75042-6826 - Phone
- (972) 205-1000
- NPI assigned
- Apr 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Oyo Bassey Eyo
- Title
- Owner
- Phone
- (972) 205-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0097030 | TX | Primary |
Addresses
Primary practice location
4529 Forest LN
Suite 102
Garland, TX 75042-6826
Mailing address
4529 Forest LN
Suite 102
Garland, TX 75042-6826
Phone (972) 205-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191580301 | Medicaid | TX | |
| 191580302 | Medicaid | TX |
Other names 1
- Choice Health Management (DME)
National Provider Directory
National Provider DirectoryLocations
4529 Forest Ln
#102
Garland, TX 75042
Phone (972) 205-1000
4529 Forest Ln
Ste 102
Garland, TX 75042
Phone (972) 205-1000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213228800000",
"number": "1396964490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4529 FOREST LN",
"address_2": "SUITE 102",
"city": "GARLAND",
"state": "TX",
"postal_code": "750426826",
"telephone_number": "972-205-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4529 FOREST LN",
"address_2": "SUITE 102",
"city": "GARLAND",
"state": "TX",
"postal_code": "750426826",
"telephone_number": "972-205-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OYO BASSEY EYO",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2008-06-12",
"status": "A",
"authorized_official_last_name": "EYO",
"authorized_official_first_name": "OYO",
"authorized_official_middle_name": "BASSEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-205-1000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0097030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "191580301",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "191580302",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Choice Health Management (DME)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.