Provider Demographics
NPI:1609087139
Name:SOUTH TEXAS MEDICAL SUPPLY DBA
Entity Type:Organization
Organization Name:SOUTH TEXAS MEDICAL SUPPLY DBA
Other - Org Name:HME SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-277-1991
Mailing Address - Street 1:12705 S KIRKWOOD RD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3819
Mailing Address - Country:US
Mailing Address - Phone:281-277-1991
Mailing Address - Fax:281-277-1552
Practice Address - Street 1:7510 REINDEER TRL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-1280
Practice Address - Country:US
Practice Address - Phone:210-681-6665
Practice Address - Fax:800-378-4092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251F00000XAgenciesHome Infusion