Provider Demographics
NPI:1871662940
Name:QUALITY MEDICAL SUPPLY, INC
Entity Type:Organization
Organization Name:QUALITY MEDICAL SUPPLY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-592-7779
Mailing Address - Street 1:929 W KING AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363-4944
Mailing Address - Country:US
Mailing Address - Phone:361-592-7779
Mailing Address - Fax:361-592-7706
Practice Address - Street 1:929 W KING AVE
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363-4944
Practice Address - Country:US
Practice Address - Phone:361-592-7779
Practice Address - Fax:361-592-7706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTXD0013162332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX532129OtherBCBS OF TX
TX532129OtherBCBS OF TX