Organization
ACCURATE MEDICAL EQUIPMENT AND SUPPLY CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANNON MICHAEL REEVES (CEO)
(817) 878-5030
Entity
Organization
Contact information
Practice address
1214 S MAIN ST, FORT WORTH, TX 76104-4803
(817) 878-5030
(817) 878-5127
Mailing address
1214 S MAIN ST, FORT WORTH, TX 76104-4803
(817) 878-5030
(817) 878-5127
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015401-0002
PACIFICARE PROVIDER NUMBE
TX
01
—
0616588
AETNA HMO PROVIDER NUMBER
TX
05
—
108501105
—
TX
01
—
530801
BCBS OF TEXAS PROVIDER NU
TX
01
—
645665
UNITED HEALTHCARE PROVIDE
TX
01
—
8540617
AETNA NON HMO PROVIDER NU
TX
Enumeration date
03/28/2006
Last updated
01/13/2011
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