PRUDENTIAL MEDICAL NETWORK, LP NPI 1003025784

Durable Medical Equipment & Medical Supplies in Midlothian, TX

NPI 1003025784 Organization Durable Medical Equipment & Medical Supp...

About PRUDENTIAL MEDICAL NETWORK, LP

Prudential Medical Network, Lp is a provider established in Midlothian, Texas specializing in durable medical equipment & medical supplies. The NPI number of Prudential Medical Network, Lp is 1003025784 and was assigned on May 2007. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Kelly Dean Sanders Opa-c (Co President)

NPI

1003025784

Provider NamePRUDENTIAL MEDICAL NETWORK, LP
Provider Location Address5455 HONEYSUCKLE RD MIDLOTHIAN, TX 76065
Provider Mailing Address5455 HONEYSUCKLE RD MIDLOTHIAN, TX 76065
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-21-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code332B00000X
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
Taxonomy DescriptionA 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.

Business Address

PRUDENTIAL MEDICAL NETWORK, LP
5455 HONEYSUCKLE RD
MIDLOTHIAN, TX
ZIP 76065
Phone: (972) 567-9571
Fax: (817) 563-6934

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Mailing Address

PRUDENTIAL MEDICAL NETWORK, LP
5455 HONEYSUCKLE RD
MIDLOTHIAN, TX
ZIP 76065
Phone: (972) 567-9571
Fax: (817) 563-6934



Authorized Official

Authorized Official NameMR. KELLY DEAN SANDERS OPA-C
Authorized Official TitleCO PRESIDENT
Authorized Official Phone(817) 714-9066

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740683317INNOVATECH MEDICAL RESOURCES, LP
Organization
Durable Medical Equipment & Medical Supplies5455 HONEYSUCKLE RD
MIDLOTHIAN, TX 76065
(972) 938-3729

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.