Provider Demographics
NPI:1578611323
Name:FIRMA MEDICAL
Entity Type:Organization
Organization Name:FIRMA MEDICAL
Other - Org Name:FIRMA MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:KINNISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-473-7473
Mailing Address - Street 1:99 REGENCY PKWY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-5409
Mailing Address - Country:US
Mailing Address - Phone:817-473-7473
Mailing Address - Fax:817-473-9639
Practice Address - Street 1:99 REGENCY PKWY
Practice Address - Street 2:SUITE 203
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-5409
Practice Address - Country:US
Practice Address - Phone:817-473-7473
Practice Address - Fax:817-473-9639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies