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Tide Medical Supply
Durable Medical Equipment & Medical Supplies in Grand Prairie, Texas
NPI 1821276973

Tide Medical Supply is a Durable Medical Equipment & Medical Supplies based in Grand Prairie, TX. Tide Medical Supply practices in Grand Prairie, TX. The NPI Number for Tide Medical Supply is 1821276973 and holds a License No. 0089915 (Texas).

The current practice location address for Tide Medical Supply is 2304 Oak Ln, Grand Prairie, TX and can be reached out via phone at 972-264-3000 and via fax at 972-264-3000.

Location: 2304 Oak Ln, Grand Prairie, TX, 75051-8812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821276973
Provider Name
Tide Medical Supply
Credential
Provider Entity Type
Organization
Address
2304 Oak Ln, Grand Prairie, TX, 75051-8812
Phone Number
972-264-3000
Fax Number
972-264-3000
Provider Enumeration Date
01/31/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
187864701 05 TX
institution
Provider Business Practice Location Address Details
Address
2304 Oak Ln
City
Grand Prairie
State
Texas
Zip
75051-8812
Phone Number
972-264-3000
Fax Number
972-264-3000
person
Provider Business Mailing Address Details
Address
2304 Oak Ln
City
Grand Prairie
State
Texas
Zip
75051-8812
Phone Number
972-264-3000
Fax Number
972-264-3000
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
0089915 (Texas)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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