Provider Demographics
NPI:1700120706
Name:THERMOTEK INC
Entity type:Organization
Organization Name:THERMOTEK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMMY
Authorized Official - Middle Name:K
Authorized Official - Last Name:MCSPADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-874-4949
Mailing Address - Street 1:1200 LAKESIDE PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-4036
Mailing Address - Country:US
Mailing Address - Phone:972-874-4949
Mailing Address - Fax:972-874-4945
Practice Address - Street 1:1200 LAKESIDE PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-4036
Practice Address - Country:US
Practice Address - Phone:972-874-4949
Practice Address - Fax:972-874-4945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0067831332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies