Provider Demographics
NPI:1609059781
Name:ADAPTIX MEDICAL SUPPLY, LLC
Entity Type:Organization
Organization Name:ADAPTIX MEDICAL SUPPLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1877-854-7537
Mailing Address - Street 1:215 E FREEMAN ST STE 102
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-4854
Mailing Address - Country:US
Mailing Address - Phone:187-775-4753
Mailing Address - Fax:480-302-5846
Practice Address - Street 1:215 E FREEMAN ST STE 102
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-4854
Practice Address - Country:US
Practice Address - Phone:187-775-4753
Practice Address - Fax:480-302-5846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32034027535332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies