Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethereal Empire LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1659133734

Ethereal Empire LLC is a Durable Medical Equipment & Medical Supplies in Euless, Texas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1501 Perdido Dr
Euless, TX 76039-1415
Phone: (817) 785-9479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1659133734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khatira Ali — Ceo · (817) 785-9479
NPI enumeratedJanuary 25, 2024
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024
Mailing address1501 Perdido Dr, Euless, TX 76039-1415

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