Active NPI
Team Medical Supply, LLC
- Durable Medical Equipment & Medical Supplies
- Texarkana, AR
National Provider Identifier
1407935349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- TEAM MEDICAL SUPPLY, LLC
- Practice address
- 210 N. State Line Ave
Suite 201
Texarkana, AR 71854-5917 - Phone
- (870) 773-0250
- Fax
- (870) 773-0272
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James C. Cooper
- Title
- President
- Phone
- (866) 854-8326
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | AR | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
210 N. State Line Ave
Suite 201
Texarkana, AR 71854-5917
Mailing address
210 N. State Line Ave.
Suite 201
Texarkana, AR 71854-5917
Phone (870) 773-0250
National Provider Directory
National Provider DirectoryLocations
4210 N State Line Ave
Texarkana, AR 71854
210 N State Line Ave
Ste 201
Texarkana, AR 71854
Phone (866) 854-8326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442188800000",
"number": "1407935349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N. STATE LINE AVE.",
"address_2": "SUITE 201",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718545917",
"telephone_number": "870-773-0250",
"fax_number": "870-773-0272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N. STATE LINE AVE",
"address_2": "SUITE 201",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718545917",
"telephone_number": "870-773-0250",
"fax_number": "870-773-0272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEAM MEDICAL SUPPLY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2015-09-14",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "866-854-8326"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.