Organization
THERAPEUTIC MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROBERTS (OWNER)
(316) 945-0040
Entity
Organization
Contact information
Practice address
7222 W NORTHWIND ST, WICHITA, KS 67205-2596
(316) 945-0040
Mailing address
7222 W NORTHWIND ST, WICHITA, KS 67205-2596
(316) 945-0040
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48659
BLUE CROSS & BLUE SHIELD
KS
Enumeration date
09/07/2006
Last updated
07/21/2022
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