# TRISTAR EQUIPMENT & MEDICAL SUPPLIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TRISTAR SUPPLIES NETWORK
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548040579
- **Authorized official:** MR. FUNSHO SAMUEL FADIPE (GENERAL MANAGER)
- **Authorized official phone:** (713) 344-8975

## Contact information

- **Practice address:** 12705 S KIRKWOOD RD STE 203, STAFFORD, TX 77477-3813
- **Practice address phone:** (281) 302-5335
- **Practice address fax:** (281) 302-5390
- **Mailing address:** 12705 S KIRKWOOD RD STE 203, STAFFORD, TX 77477-3813
- **Mailing address phone:** (281) 302-5335
- **Mailing address fax:** (281) 302-5390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | — |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 10/05/2023
- **Last updated:** 10/05/2023