Provider Demographics
NPI:1306261011
Name:MASSEY'S MEDICAL SUPPLIES
Entity type:Organization
Organization Name:MASSEY'S MEDICAL SUPPLIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-667-6885
Mailing Address - Street 1:300 W PRINCETON DR STE 2
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:TX
Mailing Address - Zip Code:75407-9709
Mailing Address - Country:US
Mailing Address - Phone:972-734-9014
Mailing Address - Fax:972-734-9015
Practice Address - Street 1:300 W PRINCETON DR STE 2
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:TX
Practice Address - Zip Code:75407-9709
Practice Address - Country:US
Practice Address - Phone:972-734-9014
Practice Address - Fax:972-734-9015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies