Organization
EMPAC MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL E IBE (CEO)
(214) 373-6200
Entity
Organization
Contact information
Practice address
1221 ABRAMS RD STE 312, RICHARDSON, TX 75081-5580
(214) 373-6200
(214) 343-8000
Mailing address
1221 ABRAMS RD STE 312, RICHARDSON, TX 75081-5580
(214) 373-6200
(214) 343-8000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0078280
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0078280
WHOLESALE DEVICE DISTRIBU
TX
05
—
175967201
—
TX
05
—
175967202
—
TX
Enumeration date
11/09/2005
Last updated
04/11/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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