Provider Demographics
NPI:1982253340
Name:TOTAL MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:TOTAL MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:BRIANNE
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-670-1120
Mailing Address - Street 1:PO BOX 5427
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75505-5427
Mailing Address - Country:US
Mailing Address - Phone:877-670-1120
Mailing Address - Fax:877-670-1121
Practice Address - Street 1:333 TEXAS ST STE 1111
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-5303
Practice Address - Country:US
Practice Address - Phone:318-656-4646
Practice Address - Fax:877-670-1121
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOTAL MEDICAL SUPPLY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-09
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LADME.001146OtherLOUISIANA BOARD OF PHARMACY DURABLE MEDICAL EQUIPMENT LICENSE