Organization
TEAM MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMIE COOPER (PRESIDENT)
(866) 854-8326
Entity
Organization
Contact information
Practice address
210 N STATE LINE AVE STE 201, TEXARKANA, AR 71854-5917
(866) 854-8326
(866) 815-8326
Mailing address
210 N STATE LINE AVE STE 201, TEXARKANA, AR 71854-5917
(866) 854-8326
(866) 815-8326
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160815716
—
AR
Enumeration date
08/13/2015
Last updated
08/13/2015
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