Provider Demographics
NPI:1619975547
Name:HITECH MEDICAL INC.
Entity Type:Organization
Organization Name:HITECH MEDICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:MAUCUS
Authorized Official - Last Name:SUMMIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-223-9001
Mailing Address - Street 1:2019 SUMMERHILL RD
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75501-3580
Mailing Address - Country:US
Mailing Address - Phone:903-223-9001
Mailing Address - Fax:903-794-8666
Practice Address - Street 1:2019 SUMMERHILL RD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75501-3580
Practice Address - Country:US
Practice Address - Phone:903-223-9001
Practice Address - Fax:903-794-8666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4654410001Medicare ID - Type Unspecified