OrganizationActive
Rooster Medical Equipment & Supplies
NPI 1255323671 · Parenteral & Enteral Nutrition Supplies (DME) · Fort Worth, TX
Provider details
- NPI number
- 1255323671
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Authorized official
- B J Ekanem, Owner
- License
- 0060761 (TX)
Practice location
3000 Sandage Ave
109
Fort Worth, TX 76109-1768
Phone: (817) 923-1900
Fax: (817) 923-1952
Mailing address
3000 Sandage Ave
Fort Worth, TX 76109-1768
Registry dates
- Enumerated
- 2005-08-22
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.