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Organization
THEPE ENTERPRISE
Active
Organization
THEPE ENTERPRISE
Active
Other names
Universal Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA ETIM (MANAGER)
(800) 380-9093
Entity
Organization
Contact information
Practice address
105 N GREENVILLE AVE STE 105-12, ALLEN, TX 75002-2294
(800) 380-9093
(972) 957-8003
Mailing address
105 N GREENVILLE AVE STE 11, ALLEN, TX 75002-2295
(800) 380-9093
(972) 957-8003
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1001500
NULL
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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