Organization
BACK TO BACK MEDICAL EQUIPMENT DIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY WASHINGTON (OWNER CEO)
(713) 477-0780
Entity
Organization
Contact information
Practice address
817 SOUTHMORE AVE, STE 100 I, PASADENA, TX 77502-1115
(713) 477-0780
(855) 873-8930
Mailing address
817 SOUTHMORE AVE, STE 100 I, PASADENA, TX 77502-1115
(713) 477-0780
(855) 873-8930
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0075614
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100265265301
UNITEDHEALTH CARE
TX
01
—
10048516
AMERIGROUP
TX
05
—
1729295-01
—
TX
05
—
1729295-02
—
TX
01
—
172929501
COMM HEALTH CHOICE
TX
01
—
200436441
PHCS
TX
01
—
531679
BLUECROSS/BLUESHIELD OF T
TX
01
—
8200381
EVERCARE
TX
01
—
HOMELINK
200436441
TX
Enumeration date
11/08/2006
Last updated
03/28/2014
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