Organization
MEDSTAR DIABETIC SUPPLY, LP
Active
Other names
CCS Medical
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HOFMEISTER (CHIEF OPERATING & FINANCIAL OFFICER)
(972) 628-2100
Entity
Organization
Contact information
Practice address
3030 LBJ FWY STE 1525, DALLAS, TX 75234-7758
(866) 535-5556
(866) 535-5456
Mailing address
160 FOUNTAIN PKWY N STE 200, ST PETERSBURG, FL 33716-1411
(972) 628-2100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938430
—
AL
05
—
017085402
—
TX
05
—
017085403
—
TX
05
—
100815120A
—
OK
05
—
1164460747
—
NC
05
—
141003716
—
AR
05
—
55424279
—
NM
Enumeration date
06/03/2006
Last updated
10/20/2025
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