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Elizabeth D.ebolum
Durable Medical Equipment & Medical Supplies in Desoto, Texas
NPI 1790860344

Elizabeth D.ebolum is a Durable Medical Equipment & Medical Supplies based in Desoto, TX. Elizabeth D.ebolum practices in Desoto, TX. The NPI Number for Elizabeth D.ebolum is 1790860344 and holds a License No. 166130801 (Texas).

The current practice location address for Elizabeth D.ebolum is 1704 N Hampton Rd, Desoto, TX and can be reached out via phone at 972-224-4500 and via fax at 972-224-4501.

Location: 1704 N Hampton Rd, Desoto, TX, 75115-8623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790860344
Provider Name
Elizabeth D.ebolum
Credential
Provider Entity Type
Organization
Address
1704 N Hampton Rd, Desoto, TX, 75115-8623
Phone Number
972-224-4500
Fax Number
972-224-4501
Provider Enumeration Date
10/25/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
166130801 05 TX
166130802 05 TX
institution
Provider Business Practice Location Address Details
Address
1704 N Hampton Rd
City
Desoto
State
Texas
Zip
75115-8623
Phone Number
972-224-4500
Fax Number
972-224-4501
person
Provider Business Mailing Address Details
Address
1704 N Hampton Rd
City
Desoto
State
Texas
Zip
75115-8623
Phone Number
972-224-4500
Fax Number
972-224-4501
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
166130801 (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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