Organization
ALLEN MEDICAL EQUIPMENT
Active
Other names
ALLEN MEDICAL EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
THELMA UDOMBAG (OWNER)
(214) 778-7690
Entity
Organization
Contact information
Practice address
5465 LEGACY DR STE 650, PLANO, TX 75024-4171
(214) 778-7690
(469) 666-9188
Mailing address
5465 LEGACY DR STE 650, PLANO, TX 75024-4171
(214) 778-7690
(469) 666-9188
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017200
DME
TX
Enumeration date
02/03/2021
Last updated
09/19/2024
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