Organization Name: | IGIETSU MEDICAL GENERAL MERCHANDIZE/SUPPLIES |
NPI Number: | 1396982401 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AHMADU IGIETSU (OWNER) |
Mailing Address: | 1411 E Abram St Ste D Arlington |
State: | TX US |
Postal Code: | 760107228 |
Phone Number: | 8173003640 |
Fax Number: | 8172774406 |
NPI Enumeration Date: | 01/12/2009 |
NPI Last Update Date: | 09/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0093044 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |