Provider Demographics
NPI:1366557365
Name:SOUTH TEXAS AMERICAN HOME MEDICAL SUPPLY
Entity type:Organization
Organization Name:SOUTH TEXAS AMERICAN HOME MEDICAL SUPPLY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-772-6970
Mailing Address - Street 1:65 N 11TH ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-2224
Mailing Address - Country:US
Mailing Address - Phone:409-839-4242
Mailing Address - Fax:409-839-4657
Practice Address - Street 1:65 N 11TH ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-2224
Practice Address - Country:US
Practice Address - Phone:409-839-4242
Practice Address - Fax:409-839-4657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TX0086950332BP3500X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX513804OtherBCBS OF TEXAS
TX513804OtherBCBS OF TEXAS