Provider Demographics
NPI:1740492800
Name:ADVANCED MEDICAL SALES, LLC
Entity type:Organization
Organization Name:ADVANCED MEDICAL SALES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:ORIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-295-3478
Mailing Address - Street 1:1005 MARLANDWOOD RD.
Mailing Address - Street 2:SUITE 108
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-7270
Mailing Address - Country:US
Mailing Address - Phone:866-512-7252
Mailing Address - Fax:866-512-7251
Practice Address - Street 1:1005 MARLANDWOOD RD
Practice Address - Street 2:SUITE 108
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-7270
Practice Address - Country:US
Practice Address - Phone:866-512-7252
Practice Address - Fax:866-512-7251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0106077332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies