# ELIZABETH D.EBOLUM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Assured Medical Equipment & Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790860344
- **Authorized official:** MRS. ELIZABETH D OPALEYE RN (DIR OF OPERATIONS)
- **Authorized official phone:** (972) 224-4500

## Contact information

- **Practice address:** 1704 N HAMPTON RD, STE 207, DESOTO, TX 75115-8623
- **Practice address phone:** (972) 224-4500
- **Practice address fax:** (972) 224-4501
- **Mailing address:** 1704 N HAMPTON RD, STE 207, DESOTO, TX 75115-8623
- **Mailing address phone:** (972) 224-4500
- **Mailing address fax:** (972) 224-4501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 166130801 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 166130802 | TX | — |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 11/14/2008