Organization
XMED OXYGEN AND MEDICAL EQUIPMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL SCOTT PHILLIPS (PRESIDENT)
(972) 416-9991
Entity
Organization
Contact information
Practice address
15230 SURVEYOR BLVD, ADDISON, TX 75001-4338
(972) 416-5502
(972) 416-6091
Mailing address
15230 SURVEYOR BLVD, ADDISON, TX 75001-4338
(972) 416-9991
(866) 252-8830
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163193901
—
TX
05
—
163193902
—
TX
01
—
531320
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/23/2005
Last updated
06/09/2020
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