Provider Demographics
NPI:1598397945
Name:TBS MEDICAL LLC
Entity type:Organization
Organization Name:TBS MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TEMOER
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRY
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:888-464-9015
Mailing Address - Street 1:512 W HICKORY ST STE 112
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-9074
Mailing Address - Country:US
Mailing Address - Phone:888-464-9015
Mailing Address - Fax:949-209-4424
Practice Address - Street 1:512 W HICKORY ST STE 112
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-9074
Practice Address - Country:US
Practice Address - Phone:888-464-9015
Practice Address - Fax:949-209-4424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-04
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty