Provider Demographics
NPI:1679531651
Name:MULTI-MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:MULTI-MEDICAL SERVICES INC
Other - Org Name:PREFERRED MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DEAVILA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:915-771-6700
Mailing Address - Street 1:11551 CHITO SAMANIEGO DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-7424
Mailing Address - Country:US
Mailing Address - Phone:915-771-6700
Mailing Address - Fax:915-771-6798
Practice Address - Street 1:11551 CHITO SAMANIEGO DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-7424
Practice Address - Country:US
Practice Address - Phone:915-771-6700
Practice Address - Fax:915-771-6798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0899970001Medicare NSC