TRI-STAR MEDICAL EQUIPMENT & SUPPLIES, INC. (NPI# 1164529137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164529137 |
| Entity Type | Organization |
| Organization Name | TRI-STAR MEDICAL EQUIPMENT & SUPPLIES, INC. |
| Practice Address |
4660 S State Highway 360 Ste 130 Grand Prairie TX 75052-4492 |
| Practice Telephone | 9729889600 |
| Practice Fax Number | 9729889601 |
| Mailing Telephone | 9729889600 |
| Mailing Fax Number | 9729889601 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEVEN DOUGLAS WATKINS (PRESIDENT) |
| Authorized Official Telephone | 8179190311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
0068415 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PROVIDER # | 531350 | 01 |
| Street Address |
4660 S STATE HIGHWAY 360 STE 130 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75052-4492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265542 | Beyond Home Health Care LLC | Registered Nurse | 3531 Pecos Way, Grand Prairie, TX 75052 | 2020-08-12 |
| 1497370332 | Michael Cooper | Dentist | 3154 South Hwy 161 Ste 640, Grand Prairie, TX 75052 | 2020-06-16 |
| 1043835788 | Amanda Azubike | Licensed Practical Nurse | 4593 Mt Laurel Dr, Grand Prairie, TX 75052 | 2020-06-09 |
| 1457992844 | Epic West Family Dnetistry Pllc | Dentist | 3166 Sh 161, Ste 190, Grand Prairie, TX 75052 | 2019-10-07 |
| 1033777487 | National Vision Inc | Optometrist | 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 | 2019-05-31 |
| 1689136624 | Raushanah Taherrah Shareef-jefferson | Dental Hygienist | 831 Ridgecrest Rd, Grand Prairie, TX 75052 | 2019-04-01 |
| 1053812552 | Dfw Better Care Physicians, Pllc | Clinic/Center | 5204 Tx 360 #400, Grand Prairie, TX 75052 | 2018-02-21 |
| 1629586797 | Grand Prairie Marvel Dental Pllc | Clinic/Center | 5020 S Hwy 360, Suite 200, Grand Prairie, TX 75052 | 2018-01-11 |
| 1033626221 | Thad Taylor Iv Dds | Dentist | 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 | 2018-01-09 |
| 1902312796 | Real Dental Pllc | Dentist | 1215 W. Pioneer Pkwy, Suite 130, Grand Prairie, TX 75052 | 2017-12-16 |
| Find all providers in zip 75052 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497919419 | Med-depot, Inc. | Durable Medical Equipment & Medical Supplies | 2478 Fort Worth St, Grand Prairie, TX 75050-4914 | 2008-07-18 |
| 1891914438 | Thme, Inc. | Durable Medical Equipment & Medical Supplies | 2100 N State Highway 360, 1704, Grand Prairie, TX 75050-1009 | 2007-04-24 |
| 1457308959 | Mid-cities Home Medical Equipment Co Inc | Durable Medical Equipment & Medical Supplies | 3011 Red Hawk Dr, Grand Prairie, TX 75052 | 2006-05-28 |
| 1831182054 | Metrocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 1340 Post and Paddock St, Suite 300, Grand Prairie, TX 75050-1257 | 2005-08-23 |
| 1740468438 | Thme, Inc. | Durable Medical Equipment & Medical Supplies | 2100 N Hwy 360, 1704, Grand Prairie, TX 75050-1009 | 2008-02-05 |
| 1295923449 | Americorf,llc | Durable Medical Equipment & Medical Supplies | 2312 Comanche Trl, Grand Prairie, TX 75052-8595 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897735 | Extraordinary Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 754 Bateswood Dr Apt 4, Houston, TX 77079-5711 | 2020-09-24 |
| 1013527290 | Riptide Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2408 Lexington Pl, Brownsville, TX 78520-3914 | 2020-08-03 |
| 1790300457 | United Wellness Dme LLC | Durable Medical Equipment & Medical Supplies | 2611 N Texas Blvd Ste 3, Weslaco, TX 78599-4062 | 2020-06-09 |
| 1831711969 | Brightstar Medical Supply | Durable Medical Equipment & Medical Supplies | 1006 N Sylvania Ave, Fort Worth, TX 76111-2516 | 2020-05-12 |
| 1568099232 | Manuel F Huaman | Durable Medical Equipment & Medical Supplies | 19842 Portlick Ct, Katy, TX 77449-5737 | 2020-03-24 |
| 1265076806 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1207 N. Glenview Drive, Richardson, TX 75081 | 2019-11-06 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1649823550 | Thomas Edward Potter | Durable Medical Equipment & Medical Supplies | 135 Bonner Ave, Corsicana, TX 75110-9252 | 2019-07-19 |
| 1114587912 | Curtis Downey | Durable Medical Equipment & Medical Supplies | 4914 Winnetka St, Houston, TX 77021-2932 | 2019-06-14 |
| 1700443330 | Leticia Garcia | Durable Medical Equipment & Medical Supplies | 12077 Briargrove Ln, Forney, TX 75126-4132 | 2019-05-20 |
| Find all providers with the same taxonomy | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75052 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.