Provider Demographics
NPI:1821212150
Name:PHMT, LLC
Entity Type:Organization
Organization Name:PHMT, LLC
Other - Org Name:NATIONAL DME
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:TRAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-248-2577
Mailing Address - Street 1:PO BOX 1230
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-1230
Mailing Address - Country:US
Mailing Address - Phone:972-248-2577
Mailing Address - Fax:972-248-2527
Practice Address - Street 1:4837 KELLER SPRINGS RD
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-5912
Practice Address - Country:US
Practice Address - Phone:972-248-2577
Practice Address - Fax:972-248-2527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0089376332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies