Provider Demographics
NPI:1386933778
Name:HEALTHCARE MEDSUPPLY LLC.
Entity type:Organization
Organization Name:HEALTHCARE MEDSUPPLY LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CORY
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-337-1995
Mailing Address - Street 1:803 GALLAGHER DR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-1750
Mailing Address - Country:US
Mailing Address - Phone:903-337-1995
Mailing Address - Fax:855-405-4545
Practice Address - Street 1:1732 W MORTON ST
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-1751
Practice Address - Country:US
Practice Address - Phone:903-337-1995
Practice Address - Fax:855-405-4545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6636230001Medicare NSC