Active NPI
Eagle Medical Equipment & Supply Co.
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
National Provider Identifier
1427093012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0101641
- Legal business name
- EAGLE MEDICAL EQUIPMENT & SUPPLY CO.
- Doing business as
- Eagle Medical Equipment & Supply Co.
- Practice address
- 9304 Forest LN
#238
Dallas, TX 75243-6238 - Phone
- (214) 342-6100
- Fax
- (214) 342-6101
- NPI assigned
- Jun 18, 2006
- 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
- Uche E. Nwabunwanne
- Title
- Chief Operating Officer/Owner
- Phone
- (214) 342-6100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0101641 | TX | Primary |
Addresses
Primary practice location
9304 Forest LN
#238
Dallas, TX 75243-6238
Mailing address
9304 Forest LN
#238
Dallas, TX 75243-6238
Phone (214) 342-6100
Other names 1
- Eagle Medical Equipment & Supply Co.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232409600000",
"number": "1427093012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9304 FOREST LN",
"address_2": "#238",
"city": "DALLAS",
"state": "TX",
"postal_code": "752436238",
"telephone_number": "214-342-6100",
"fax_number": "214-342-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9304 FOREST LN",
"address_2": "#238",
"city": "DALLAS",
"state": "TX",
"postal_code": "752436238",
"telephone_number": "214-342-6100",
"fax_number": "214-342-6101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLE MEDICAL EQUIPMENT & SUPPLY CO.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2009-01-20",
"status": "A",
"authorized_official_last_name": "NWABUNWANNE",
"authorized_official_first_name": "UCHE",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER/OWNER",
"authorized_official_telephone_number": "214-342-6100"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0101641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eagle Medical Equipment & Supply Co.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.