MEDICARE: STERLING DME SUPPLY 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	:	1598039554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STERLING DME SUPPLY LLC

Provider Business Mailing Address
First Line	:	7455 S HULEN ST
Second Line	:	STE 230
City	:	FORT WORTH
State	:	TX
Zip	:	76133-7358
Country	:	US
Telephone Number	:	817-739-4007
Fax Number	:	817-977-4631

Provider Business Practice Location Address
First Line	:	7455 S HULEN ST
Second Line	:	STE 230
City	:	FORT WORTH
State	:	TX
Zip	:	76133-7358
Country	:	US
Telephone Number	:	817-739-4007
Fax Number	:	817-977-4631

Authorized Official
Title or Position	:	CEO
Name	:	RODERICK C SATUITO
Credential	:
Telephone Number	:	817-739-4007

Provider Enumeration Date	:	03/07/2012
Last Update Date	:	04/02/2014

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