Provider Demographics
NPI:1659567204
Name:H MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:H MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:DENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-238-1707
Mailing Address - Street 1:P.O. BOX 2589
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640
Mailing Address - Country:US
Mailing Address - Phone:512-216-6104
Mailing Address - Fax:866-611-9272
Practice Address - Street 1:1720 REDWOOD RD
Practice Address - Street 2:SUITE A
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666
Practice Address - Country:US
Practice Address - Phone:512-261-6104
Practice Address - Fax:866-611-9272
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:H MEDICAL SUPPLIES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-18
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32033736698332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6031780001Medicare NSC