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NPI Code Detail

MEDICARE: HEALTHCARE MEDSUPPLY LLC

MEDICARE: HEALTHCARE MEDSUPPLY 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
1332B00000XDurable Medical Equipment & Medical Supplies32052041038TX

General Provider Information

NPI Number : 1962830364
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHCARE MEDSUPPLY LLC
Provider Business Mailing Address
First Line : 803 GALLAGHER DR
Second Line :
City : SHERMAN
State : TX
Zip : 75090-1750
Country : US
Telephone Number : 903-487-2009
Fax Number : 855-405-4409
Provider Business Practice Location Address
First Line : 803 GALLAGHER DR
Second Line :
City : SHERMAN
State : TX
Zip : 75090-1750
Country : US
Telephone Number : 903-487-2009
Fax Number : 855-405-4409
Authorized Official
Title or Position : OWNER
Name : CORY FOSTER
Credential :
Telephone Number : 903-337-1995
Provider Enumeration Date : 10/22/2013
Last Update Date : 09/25/2015

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Directions to “HEALTHCARE MEDSUPPLY LLC ” Practice Location

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