Provider Demographics
NPI:1548942790
Name:FOCUS MEDICAL SUPPLY LLC
Entity type:Organization
Organization Name:FOCUS MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:MS
Authorized Official - First Name:CHATARRA
Authorized Official - Middle Name:TASHALA
Authorized Official - Last Name:EASTERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-661-3560
Mailing Address - Street 1:13201 NW FWY STE 260
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-6054
Mailing Address - Country:US
Mailing Address - Phone:888-341-7184
Mailing Address - Fax:
Practice Address - Street 1:13201 NW FWY STE 260
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-6054
Practice Address - Country:US
Practice Address - Phone:888-341-7184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies