Provider Demographics
NPI:1992736425
Name:TOTAL MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:TOTAL MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:BRIANNE
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-670-1120
Mailing Address - Street 1:PO BOX 5427
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75505-5427
Mailing Address - Country:US
Mailing Address - Phone:903-838-0484
Mailing Address - Fax:903-838-0490
Practice Address - Street 1:5610 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-0500
Practice Address - Country:US
Practice Address - Phone:903-838-0484
Practice Address - Fax:903-838-0490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR161973716Medicaid
TX184223901Medicaid