Provider Demographics
NPI:1871202119
Name:TEXAS DME SUPPLY LLC
Entity type:Organization
Organization Name:TEXAS DME SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARON
Authorized Official - Middle Name:
Authorized Official - Last Name:CALHOUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-400-3582
Mailing Address - Street 1:4747 RESEARCH FOREST DR # 180-292
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-4912
Mailing Address - Country:US
Mailing Address - Phone:936-400-3582
Mailing Address - Fax:936-400-3583
Practice Address - Street 1:168 COL. ETHEREDGE BLVD SUITE D UNIT E
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340
Practice Address - Country:US
Practice Address - Phone:936-400-3582
Practice Address - Fax:936-400-3583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies