Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
TIDE MEDICAL SUPPLY
Active
Organization
TIDE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS ADEDAYO OGUNGBIRE (OWNER)
(972) 264-3000
Entity
Organization
Contact information
Practice address
2304 OAK LN, SUITE 13, GRAND PRAIRIE, TX 75051-8812
(972) 264-3000
(972) 264-3000
Mailing address
2304 OAK LN, SUITE 13, GRAND PRAIRIE, TX 75051-8812
(972) 264-3000
(972) 264-3000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0089915
TX
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers