MEDICARE: DTS MEDICAL SUPPLY CORP

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	332BX2000X	Oxygen Equipment & Supplies (DME)	0078590	TX

General Provider Information

NPI Number	:	1699710210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DTS MEDICAL SUPPLY CORP

Provider Business Mailing Address
First Line	:	121 N TEEL DR
Second Line	:
City	:	DEVINE
State	:	TX
Zip	:	78016-2932
Country	:	US
Telephone Number	:	830-663-4766
Fax Number	:	830-663-3368

Provider Business Practice Location Address
First Line	:	121 N TEEL DR
Second Line	:
City	:	DEVINE
State	:	TX
Zip	:	78016-2932
Country	:	US
Telephone Number	:	830-663-4766
Fax Number	:	830-663-3368

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	MISS KATE M KELLY-TUORILA
Credential	:
Telephone Number	:	210-382-5454

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	08/22/2020

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Directions to “DTS MEDICAL SUPPLY CORP ” Practice Location

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