Provider Demographics
NPI:1528287489
Name:T MED SURGICAL DEVICES AND BRACING, LLC
Entity type:Organization
Organization Name:T MED SURGICAL DEVICES AND BRACING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:HYROOP
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:918-629-7419
Mailing Address - Street 1:PO BOX 268977
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73126-8977
Mailing Address - Country:US
Mailing Address - Phone:918-629-7419
Mailing Address - Fax:918-292-8430
Practice Address - Street 1:8988 S SHERIDAN RD STE W
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5035
Practice Address - Country:US
Practice Address - Phone:918-629-7419
Practice Address - Fax:918-292-8430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies