Organization
TRI-STAR MEDICAL EQUIPMENT & SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN DOUGLAS WATKINS (PRESIDENT)
(817) 919-0311
Entity
Organization
Contact information
Practice address
4660 S STATE HIGHWAY 360, STE 130, GRAND PRAIRIE, TX 75052-4492
(972) 988-9600
(972) 988-9601
Mailing address
4660 S STATE HIGHWAY 360, STE 130, GRAND PRAIRIE, TX 75052-4492
(972) 988-9600
(972) 988-9601
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0068415
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
531350
BCBS PROVIDER #
TX
Enumeration date
09/20/2006
Last updated
08/22/2020
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