Provider Demographics
NPI:1316093958
Name:MEDICAL PRODUCTS & SERVICES, INC.
Entity type:Organization
Organization Name:MEDICAL PRODUCTS & SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MGR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-832-0467
Mailing Address - Street 1:100 INDIAN CREEK DR
Mailing Address - Street 2:110
Mailing Address - City:TROPHY CLUB
Mailing Address - State:TX
Mailing Address - Zip Code:76262-5578
Mailing Address - Country:US
Mailing Address - Phone:817-491-9701
Mailing Address - Fax:817-491-4745
Practice Address - Street 1:100 INDIAN CREEK DR
Practice Address - Street 2:110
Practice Address - City:TROPHY CLUB
Practice Address - State:TX
Practice Address - Zip Code:76262-5578
Practice Address - Country:US
Practice Address - Phone:817-491-9701
Practice Address - Fax:817-491-4745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1128031332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies