Provider Demographics
NPI:1811884422
Name:ENTX SOLUTIONS LLC
Entity type:Organization
Organization Name:ENTX SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DASHAWN
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:FLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-920-3953
Mailing Address - Street 1:939 HANCOCK RD
Mailing Address - Street 2:
Mailing Address - City:BULLHEAD CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86442-5163
Mailing Address - Country:US
Mailing Address - Phone:470-920-3953
Mailing Address - Fax:909-751-0079
Practice Address - Street 1:939 HANCOCK RD
Practice Address - Street 2:
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86442-5163
Practice Address - Country:US
Practice Address - Phone:470-920-3953
Practice Address - Fax:909-751-0079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies