Provider Demographics
NPI:1710253406
Name:INCARE DME, LLC
Entity type:Organization
Organization Name:INCARE DME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-354-5566
Mailing Address - Street 1:4343 SIGMA RD STE 500
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75244-4490
Mailing Address - Country:US
Mailing Address - Phone:972-331-5900
Mailing Address - Fax:972-354-5568
Practice Address - Street 1:4343 SIGMA RD STE 500
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75244-4490
Practice Address - Country:US
Practice Address - Phone:972-331-5900
Practice Address - Fax:972-354-5568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies