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NPI Code Detail

MEDICARE: MULTI-MEDICAL INC

MEDICARE: MULTI-MEDICAL INC
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1396780607
Entity Type Code : Organization
Provider Name (Legal Business Name) : MULTI-MEDICAL INC
Provider Business Mailing Address
First Line : 2313 8TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-2534
Country : US
Telephone Number : 817-514-9403
Fax Number : 817-427-9716
Provider Business Practice Location Address
First Line : 2313 8TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-2534
Country : US
Telephone Number : 817-514-9403
Fax Number : 817-427-9716
Authorized Official
Title or Position : PRESIDENT OWNER
Name : MR. DOUGLAS HARTMAN
Credential :
Telephone Number : 817-514-9403
Provider Enumeration Date : 06/19/2006
Last Update Date : 08/22/2020

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