# TEAM STAT MEDICAL SUPPLIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376839381
- **Authorized official:** MR. KURT RAYMOND HIPPCHEN (OWNER)
- **Authorized official phone:** (214) 906-8489

## Contact information

- **Practice address:** 565 CHESAPEAKE LN, SOUTHLAKE, TX 76092-8107
- **Practice address phone:** (214) 906-8489
- **Practice address fax:** (817) 431-3580
- **Mailing address:** 565 CHESAPEAKE LN, SOUTHLAKE, TX 76092-8107
- **Mailing address phone:** (214) 906-8489
- **Mailing address fax:** (817) 431-3580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/28/2011
- **Last updated:** 06/28/2011