# DIMEDICAL EQUIPMENT& SUPPLY ,INC

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

## Provider details

- **NPI number:** 1477706000
- **Authorized official:** MR. ANTHONY ETIM UMANA (ADMINISTRATOR)
- **Authorized official phone:** (903) 595-1303

## Contact information

- **Practice address:** 1429 S FLEISHEL AVE, TYLER, TX 75701-3355
- **Practice address phone:** (903) 595-1303
- **Practice address fax:** (903) 595-1326
- **Mailing address:** 1429 S FLEISHEL AVE, TYLER, TX 75701-3355
- **Mailing address phone:** (903) 595-1303
- **Mailing address fax:** (903) 595-1326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 163387701 | TX | Yes |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 10/28/2008