Provider Demographics
NPI:1487654133
Name:UHS OF TEXOMA INC
Entity Type:Organization
Organization Name:UHS OF TEXOMA INC
Other - Org Name:TMC MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO, SENIOR VP
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3300
Mailing Address - Street 1:619 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-3209
Mailing Address - Country:US
Mailing Address - Phone:903-416-5555
Mailing Address - Fax:
Practice Address - Street 1:619 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-3209
Practice Address - Country:US
Practice Address - Phone:903-416-5555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-22
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0031829 & TX0008643332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1946790-01Medicaid
TX519325OtherBLUE CROSS PROVIDER #
TX1946790-02Medicaid
OK100702760 DMedicaid
OK100702760 DMedicaid