Provider Demographics
NPI:1588656227
Name:DME DEPOT LTD
Entity Type:Organization
Organization Name:DME DEPOT LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-564-0100
Mailing Address - Street 1:5233 I H 37
Mailing Address - Street 2:SUITE B18
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78408-2521
Mailing Address - Country:US
Mailing Address - Phone:361-992-5353
Mailing Address - Fax:361-992-5474
Practice Address - Street 1:5233 I H 37
Practice Address - Street 2:SUITE B18
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78408-2521
Practice Address - Country:US
Practice Address - Phone:361-992-5353
Practice Address - Fax:361-992-5474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2011-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0071686332B00000X, 332BC3200X
332BD1200X, 332BN1400X, 332BP3500X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX164195301Medicaid
TX164195302Medicaid
TX531558OtherBCBS
TX164195304Medicaid
TX164195303Medicaid
TX164195302Medicaid