Provider Demographics
NPI:1871586024
Name:PRESCRIPTION MEDICAL EQUIPMENT & SUPPLIES INC
Entity type:Organization
Organization Name:PRESCRIPTION MEDICAL EQUIPMENT & SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNEL
Authorized Official - Middle Name:PAGALILAUAN
Authorized Official - Last Name:QUINAGORAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-288-2332
Mailing Address - Street 1:1019 DALWORTH DRIVE
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-4149
Mailing Address - Country:US
Mailing Address - Phone:972-288-2332
Mailing Address - Fax:972-288-2321
Practice Address - Street 1:1019 DALWORTH DRIVE
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-4149
Practice Address - Country:US
Practice Address - Phone:972-288-2332
Practice Address - Fax:972-288-2321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-23
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0075116332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165847801Medicaid
TX165847802Medicaid
TX165847802Medicaid