Healthcare Provider Details

I. General information

NPI: 1447442934
Provider Name (Legal Business Name): PCMSTEXAS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2007
Last Update Date: 08/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6305 SANDSTONE DR
ARLINGTON TX
76001-8114
US

IV. Provider business mailing address

6305 SANDSTONE DR
ARLINGTON TX
76001-8114
US

V. Phone/Fax

Practice location:
  • Phone: 817-504-5923
  • Fax:
Mailing address:
  • Phone: 817-504-5923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY MARK BARCH
Title or Position: PRESIDENT/CEO
Credential: RRT
Phone: 817-504-5923