Provider Demographics
NPI:1548496094
Name:KARMA MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:KARMA MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:BOUVIER
Authorized Official - Last Name:HENDESON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-235-4200
Mailing Address - Street 1:PO BOX 851753
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75085-1753
Mailing Address - Country:US
Mailing Address - Phone:972-235-4200
Mailing Address - Fax:972-235-2300
Practice Address - Street 1:500 E ARAPAHO RD STE 606
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-2766
Practice Address - Country:US
Practice Address - Phone:972-235-4200
Practice Address - Fax:972-235-2300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-10
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X, 332BP3500X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX217976401Medicaid
TX217976401Medicaid