Organization
HOME MEDICAL EQUIPMENT OF FORT WORTH, LLC.
Active
Other names
HOME MEDICAL EQUIPMENT OF TEXAS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISSAM B BOU-HAMDAN (VICE PRESIDENT)
(817) 282-5273
Entity
Organization
Contact information
Practice address
5324 DAVIS BLVD, NORTH RICHLAND HILLS, TX 76180-6824
(817) 282-5273
(817) 282-5279
Mailing address
5324 DAVIS BLVD, NORTH RICHLAND HILLS, TX 76180-6824
(817) 282-5273
(817) 282-5279
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0071054
TX
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710055-02
—
TX
01
—
531424
BCBS OF TEXAS
TX
Enumeration date
10/26/2006
Last updated
06/21/2018
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