MEDICARE: TEXAS HEALTH MEDICAL SUPPORT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336H0001X	Home Infusion Therapy Pharmacy

General Provider Information

NPI Number	:	1669918132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS HEALTH MEDICAL SUPPORT

Provider Business Mailing Address
First Line	:	PO BOX 733485
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-3485
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 BRIDGEWOOD DR STE 107
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-0808
Country	:	US
Telephone Number	:	682-236-2550
Fax Number	:	682-236-0051

Authorized Official
Title or Position	:	DIR, PHARMACY INFUSION
Name	:	TED MENARD
Credential	:
Telephone Number	:	682-236-2423

Provider Enumeration Date	:	01/09/2017
Last Update Date	:	05/05/2026

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Directions to “TEXAS HEALTH MEDICAL SUPPORT ” Practice Location

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