MEDICARE: HEALTHCARE MEDICAL ASSIST SUPPLIES, LLC

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

General Provider Information

NPI Number	:	1407625304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE MEDICAL ASSIST SUPPLIES, LLC

Provider Business Mailing Address
First Line	:	6220 N BELT LINE RD STE 202
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-2656
Country	:	US
Telephone Number	:	972-951-6530
Fax Number	:

Provider Business Practice Location Address
First Line	:	6220 N BELT LINE RD STE 202
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-2656
Country	:	US
Telephone Number	:	972-951-6530
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DAMIEN FRALIN
Credential	:
Telephone Number	:	972-951-6530

Provider Enumeration Date	:	12/20/2023
Last Update Date	:	10/31/2024

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