Provider Demographics
NPI:1407625304
Name:HEALTHCARE MEDICAL ASSIST SUPPLIES, LLC
Entity Type:Organization
Organization Name:HEALTHCARE MEDICAL ASSIST SUPPLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAMIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRALIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-951-6530
Mailing Address - Street 1:4760 PRESTON RD # 244-144
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8548
Mailing Address - Country:US
Mailing Address - Phone:972-951-6530
Mailing Address - Fax:
Practice Address - Street 1:6210 N BELT LINE RD STE 202
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-2682
Practice Address - Country:US
Practice Address - Phone:972-951-6530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies