Provider Demographics
NPI:1477553402
Name:MEDICAL SALES INC.
Entity Type:Organization
Organization Name:MEDICAL SALES INC.
Other - Org Name:SPECIALTY MEDICAL SALES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:POLSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-434-2073
Mailing Address - Street 1:PO BOX 293451
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75029-3451
Mailing Address - Country:US
Mailing Address - Phone:972-434-2073
Mailing Address - Fax:972-436-5454
Practice Address - Street 1:1702 S STATE HIGHWAY 121
Practice Address - Street 2:STE 608
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-8944
Practice Address - Country:US
Practice Address - Phone:972-434-2073
Practice Address - Fax:972-436-5454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-01
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX011442301Medicaid
TX010044801Medicaid
TX011442301Medicaid
TX0906400001Medicare NSC