# EBIE COMMUNITY MEDICAL,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205923356
- **Authorized official:** JOLI ANGEL ROBINSON (CEO)
- **Authorized official phone:** (972) 224-3434

## Contact information

- **Practice address:** 1670 N HAMPTON RD, SUITE 102, DESOTO, TX 75115-8302
- **Practice address phone:** (972) 224-3434
- **Practice address fax:** (972) 224-3442
- **Mailing address:** 1670 N HAMPTON RD, SUITE 102, DESOTO, TX 75115-8302
- **Mailing address phone:** (972) 224-3434
- **Mailing address fax:** (972) 224-3442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 08/22/2020