Prominent Health Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROMINENT HEALTH SUPPLIES

Practice address

2744 Honey Suckle Dr
Grand Prairie, TX 75052-8557

Phone

(817) 269-5538

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Rayna Gentry

Title

Billing Agent

Phone

(817) 987-1466

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417160441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 HONEY SUCKLE DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528557",
            "telephone_number": "817-269-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 HONEY SUCKLE DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528557",
            "telephone_number": "817-269-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMINENT HEALTH SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "RAYNA",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "817-987-1466"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• 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.