Organization
AMERICAN EAGLE HOME MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNATHON LEIGHTON ANSLEY (OWNER/PARTNER)
(972) 937-7377
Entity
Organization
Contact information
Practice address
201 AMANDA LANE, 104A, WAXAHACHIE, TX 75168-1390
(972) 937-7377
(972) 937-6656
Mailing address
PO BOX 656, WAXAHACHIE, TX 75168-0656
(972) 937-7377
(972) 937-6656
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0077830
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710626
—
TX
Enumeration date
07/19/2006
Last updated
08/22/2020
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