Organization
TEAM STAT MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT RAYMOND HIPPCHEN (OWNER)
(214) 906-8489
Entity
Organization
Contact information
Practice address
565 CHESAPEAKE LN, SOUTHLAKE, TX 76092-8107
(214) 906-8489
(817) 431-3580
Mailing address
565 CHESAPEAKE LN, SOUTHLAKE, TX 76092-8107
(214) 906-8489
(817) 431-3580
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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