Provider Demographics
NPI:1467691618
Name:TRITON MEDICAL SOLUTIONS INC.
Entity Type:Organization
Organization Name:TRITON MEDICAL SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P. SALES
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CYR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-627-0660
Mailing Address - Street 1:662 10TH ST BLDG B
Mailing Address - Street 2:
Mailing Address - City:FLORESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78114-3124
Mailing Address - Country:US
Mailing Address - Phone:830-216-4490
Mailing Address - Fax:830-216-4242
Practice Address - Street 1:662 10TH ST BLDG B
Practice Address - Street 2:
Practice Address - City:FLORESVILLE
Practice Address - State:TX
Practice Address - Zip Code:78114-3124
Practice Address - Country:US
Practice Address - Phone:830-216-4490
Practice Address - Fax:830-216-4242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0103139332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6308160001Medicare NSC