Provider Demographics
NPI:1568715852
Name:M SQUARED INC
Entity Type:Organization
Organization Name:M SQUARED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:806-358-2428
Mailing Address - Street 1:5901 BELL ST
Mailing Address - Street 2:STE C32
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-6231
Mailing Address - Country:US
Mailing Address - Phone:806-358-2428
Mailing Address - Fax:806-353-4463
Practice Address - Street 1:5901 BELL ST
Practice Address - Street 2:STE C32
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-6231
Practice Address - Country:US
Practice Address - Phone:806-358-2428
Practice Address - Fax:806-353-4463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-24
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TX167313336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1060380001Medicare NSC