Provider Demographics
NPI:1407838089
Name:NORTH TEXAS DME, INC.
Entity Type:Organization
Organization Name:NORTH TEXAS DME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTHERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-422-1215
Mailing Address - Street 1:PO BOX 941984
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75094-1984
Mailing Address - Country:US
Mailing Address - Phone:972-422-1215
Mailing Address - Fax:972-881-2340
Practice Address - Street 1:1110 SUMMIT AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-8553
Practice Address - Country:US
Practice Address - Phone:972-422-1215
Practice Address - Fax:972-881-2340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX519746OtherBCBS PROVIDER NUMBER
TX519746OtherBCBS PROVIDER NUMBER