Provider Demographics
NPI:1700108636
Name:1ST RESPOND MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:1ST RESPOND MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHIUDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-913-4310
Mailing Address - Street 1:1100 BUSINESS PKWY
Mailing Address - Street 2:STE. 120
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5069
Mailing Address - Country:US
Mailing Address - Phone:972-913-4310
Mailing Address - Fax:888-310-8034
Practice Address - Street 1:1100 BUSINESS PKWY
Practice Address - Street 2:STE. 120
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5069
Practice Address - Country:US
Practice Address - Phone:972-913-4310
Practice Address - Fax:888-310-8034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-19
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000255332B00000X
332B00000X
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX217993904Medicaid
TX217993904Medicaid