Organization
NORTH TEXAS DME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SUTHERLAND (PRESIDENT)
(972) 422-1215
Entity
Organization
Contact information
Practice address
1110 SUMMIT AVE, SUITE 8, PLANO, TX 75074-8553
(972) 422-1215
(972) 881-2340
Mailing address
PO BOX 941984, PLANO, TX 75094-1984
(972) 422-1215
(972) 881-2340
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
519746
BCBS PROVIDER NUMBER
TX
Enumeration date
11/18/2005
Last updated
08/22/2020
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