Provider Demographics
NPI:1295834687
Name:UNION MEDICAL SUPPLY,INC .
Entity Type:Organization
Organization Name:UNION MEDICAL SUPPLY,INC .
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:MUYIS
Authorized Official - Middle Name:ABIODUN
Authorized Official - Last Name:KEHINDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-461-6460
Mailing Address - Street 1:2429 S COLLINS ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-1226
Mailing Address - Country:US
Mailing Address - Phone:817-461-6460
Mailing Address - Fax:817-299-8145
Practice Address - Street 1:2429 S COLLINS ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-1226
Practice Address - Country:US
Practice Address - Phone:817-461-6460
Practice Address - Fax:817-299-8145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX531349OtherDME PROVIDER
TX531349OtherDME PROVIDER