Active NPI
Debra Ann Leos, CFTS
- Durable Medical Equipment & Medical Supplies
- Grand Prairie, TX
National Provider Identifier
1558528208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 2306 Oak LN
Suite 3
Grand Prairie, TX 75051-8235 - Phone
- (469) 733-0580
- Fax
- (972) 262-0533
- NPI assigned
- May 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | TX | Primary | |
| Prosthetic/Orthotic Supplier | 335E00000X | TX |
Addresses
Primary practice location
2306 Oak LN
Suite 3
Grand Prairie, TX 75051-8235
Mailing address
2306 Oak LN
Suite 3
Grand Prairie, TX 75051-8235
Phone (469) 733-0580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1558528208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2306 OAK LN",
"address_2": "SUITE 3",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750518235",
"telephone_number": "469-733-0580",
"fax_number": "972-262-0533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2306 OAK LN",
"address_2": "SUITE 3",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750518235",
"telephone_number": "469-733-0580",
"fax_number": "972-262-0533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEOS",
"first_name": "DEBRA",
"middle_name": "ANN",
"credential": "CFTS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.