Provider Demographics
NPI:1568264299
Name:TRISTAR MED SUPPLIES
Entity type:Organization
Organization Name:TRISTAR MED SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FAHEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-772-0419
Mailing Address - Street 1:620 HIGHWAY 6 S
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2324
Mailing Address - Country:US
Mailing Address - Phone:213-772-0419
Mailing Address - Fax:
Practice Address - Street 1:620 HIGHWAY 6 S
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2324
Practice Address - Country:US
Practice Address - Phone:213-772-0419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies