Provider Demographics
NPI:1417182486
Name:CAREGIVERS MEDICAL SUPPLY INC.
Entity Type:Organization
Organization Name:CAREGIVERS MEDICAL SUPPLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:D
Authorized Official - Last Name:SUTHERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-275-0147
Mailing Address - Street 1:PO BOX 940446
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75094-0446
Mailing Address - Country:US
Mailing Address - Phone:972-516-1790
Mailing Address - Fax:972-516-1792
Practice Address - Street 1:1308 CAPITAL AVE
Practice Address - Street 2:SUITE 12
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-8549
Practice Address - Country:US
Practice Address - Phone:972-516-1790
Practice Address - Fax:972-516-1792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies