Provider Demographics
NPI:1417273467
Name:CARMEN A TATE DBA AMERICAN MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:CARMEN A TATE DBA AMERICAN MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:TATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-995-1615
Mailing Address - Street 1:9894 BISSONNET ST STE 788
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8272
Mailing Address - Country:US
Mailing Address - Phone:866-995-1615
Mailing Address - Fax:713-995-1621
Practice Address - Street 1:9894 BISSONNET ST STE 788
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8272
Practice Address - Country:US
Practice Address - Phone:866-995-1615
Practice Address - Fax:713-995-1621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-15
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6390160001Medicare NSC