Southlake Medical Supplies, Inc.

LBN: Southlake Medical Supplies, Inc.
Southlake Medical Supplies, Inc. is an health care organization with primary practice located at 2140 E. Southlake Blvd. #L-675, Southlake TX 76092-6516. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Southlake Medical Supplies, Inc. can be contacted via phone (817) 319-8090, or through Cozzie, Nancy via phone (817) 319-8090.

Contact Information

Primary practice address
2140 E. Southlake Blvd. #L-675 Southlake TX 76092-6516
Phone: (817) 319-8090
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cozzie, Nancy
Phone: (817) 319-8090

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0054467 Texas

Profile Details

NPI number 1427004944
LBN Legal business name Southlake Medical Supplies, Inc.
DBA Doing business as
Authorized official Cozzie, Nancy
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Sep 22nd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427004944 NPPES
Texas MEDICAID 143425002
Texas MEDICAID 143425001

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