Provider Demographics
NPI:1043366990
Name:AFFORDABLE SUPPLIES, INC
Entity type:Organization
Organization Name:AFFORDABLE SUPPLIES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-774-1724
Mailing Address - Street 1:2709 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7549
Mailing Address - Country:US
Mailing Address - Phone:972-578-4831
Mailing Address - Fax:972-578-9530
Practice Address - Street 1:2709 W 15TH ST STE B
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7545
Practice Address - Country:US
Practice Address - Phone:972-578-4831
Practice Address - Fax:972-578-9530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2021-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0063591332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX159605802Medicaid
TX5682480001Medicare NSC