Provider Demographics
NPI:1477196913
Name:MASVIDA HEALTH CARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:MASVIDA HEALTH CARE SOLUTIONS LLC
Other - Org Name:JMEDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITELEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-704-3103
Mailing Address - Street 1:133 NURSERY LN
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76114-4390
Mailing Address - Country:US
Mailing Address - Phone:877-790-5994
Mailing Address - Fax:
Practice Address - Street 1:29515 BORDER ST STE A
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373
Practice Address - Country:US
Practice Address - Phone:832-326-3635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies