# ADA EQUIPMENT & SUPPLIES

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

## Provider details

- **NPI number:** 1699846816
- **Authorized official:** JESSE MIRANDA (OWNER)
- **Authorized official phone:** (512) 442-8681

## Contact information

- **Practice address:** 1714 FORTVIEW RD STE 106D, AUSTIN, TX 78704-7659
- **Practice address phone:** (512) 517-8680
- **Practice address fax:** (512) 442-8681
- **Mailing address:** 1714 FORTVIEW RD STE 106D, AUSTIN, TX 78704-7659
- **Mailing address phone:** (512) 517-8680
- **Mailing address fax:** (512) 442-8681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0092593 | TX | Yes |

## Other

- **Enumeration date:** 11/10/2006
- **Last updated:** 06/16/2008