institution
Jerry Ike
Durable Medical Equipment & Medical Supplies in Grand Prairie, Texas
NPI 1154312148

Jerry Ike is a Durable Medical Equipment & Medical Supplies based in Grand Prairie, TX. Jerry Ike practices in Grand Prairie, TX. The NPI Number for Jerry Ike is 1154312148 and holds a License No. 0071940 (Texas).

The current practice location address for Jerry Ike is 2306 Oak Ln., Grand Prairie, TX and can be reached out via phone at 972-262-7752 and via fax at 972-237-0430.

Location: 2306 Oak Ln., Grand Prairie, TX, 75051
institution
Provider Profile Details
NPI Number
1154312148
Provider Name
Jerry Ike
Credential
Provider Entity Type
Organization
Address
2306 Oak Ln., Grand Prairie, TX, 75051
Phone Number
972-262-7752
Fax Number
972-237-0430
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TPI 170054401 05 TX
TPI 170054402 05 TX
institution
Provider Business Practice Location Address Details
Address
2306 Oak Ln.
City
State
Zip
75051
Phone Number
972-262-7752
Fax Number
972-237-0430
person
Provider Business Mailing Address Details
Address
2306 Oak Ln.
City
State
Zip
75051
Phone Number
972-262-7752
Fax Number
972-237-0430
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
0071940 (Texas)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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