Organization · Type 2 NPI

Medstar Diabetic Supply, LP

Durable Medical Equipment & Medical Supplies · Dallas, TX

NPI number 1164460747 Active

Practice location

3030 Lbj Fwy Ste 1525
Dallas, TX 75234-7758

Call (866) 535-5556 Map

Fax (866) 535-5456

Mailing address

160 Fountain Pkwy N Ste 200
St. Petersburg, FL 33716-1411

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed

Durable Medical Equipment & Medical Supplies: 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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NPI record

NPI: 1164460747
Entity type: Organization (Type 2)
Issued: Jun 3, 2006
Last updated: Oct 20, 2025
Status: Active

Other names

<unavail>
CCS Medical · doing business as
CCS Medical · doing business as

Authorized official

Thomas Hofmeister
Chief Operating & Financial Officer
(972) 628-2100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164460747

Medstar Diabetic Supply, LP's National Provider Identifier is 1164460747, issued on Jun 3, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Dallas, TX. The record was last updated on Oct 20, 2025.