Organization · Type 2 NPI

Jerry Ike

Durable Medical Equipment & Medical Supplies · Grand Prairie, TX

NPI number 1154312148 Active

Practice location

2306 Oak Ln., Ste 16
Grand Prairie, TX 75051

Call (972) 262-7752 Map

Fax (972) 237-0430

Mailing address

2306 Oak Ln., Ste 16
Grand Prairie, TX 75051

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000X0071940 (TX)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1154312148

Jerry Ike's National Provider Identifier is 1154312148, issued on Oct 31, 2005. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Grand Prairie, TX. The record was last updated on Nov 23, 2010.