# EDDIE ETTE

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

## Provider details

- **NPI number:** 1548205313
- **Authorized official:** MR. EDDIE ETTE (BUSINESS OWNER)
- **Authorized official phone:** (817) 200-2363

## Contact information

- **Practice address:** 705 E ABRAM ST, SUITE 100, ARLINGTON, TX 76010-1240
- **Practice address phone:** (817) 200-2363
- **Practice address fax:** (817) 200-2356
- **Mailing address:** 705 E ABRAM ST, SUITE 100, ARLINGTON, TX 76010-1240
- **Mailing address phone:** (817) 200-2363
- **Mailing address fax:** (817) 200-2356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 332B00000X | TX | Yes |
| 332BC3200X | Customized Equipment (DME) | 0063143 | TX | — |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 09/13/2011