Provider Demographics
NPI:1346432994
Name:FAITH MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:FAITH MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSALINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-544-8800
Mailing Address - Street 1:2505 BOCA CHICA BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-2309
Mailing Address - Country:US
Mailing Address - Phone:956-544-8800
Mailing Address - Fax:956-544-8800
Practice Address - Street 1:2505 BOCA CHICA BLVD STE B
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-2309
Practice Address - Country:US
Practice Address - Phone:956-544-8800
Practice Address - Fax:956-544-8800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-16
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX194041302Medicaid
TX194041302Medicaid