Tide Medical Supply

Durable Medical Equipment & Medical Supplies



  
  2304 Oak Ln, Suite 13, Grand Prairie
Texas, 75051-8812

 972-264-3000    972-264-3000
Tide Medical Supply is a Durable Medical Equipment & Medical Supplies in Grand Prairie, Texas. It is located at 2304 Oak Ln, Suite 13, Grand Prairie and it's customer support contact number is 972-264-3000. The authorized person of Tide Medical Supply is Mr. Thomas Adedayo Ogungbire who is Owner of this DME and his contact number is 972-264-3000. Active license number of Tide Medical Supply is 0089915 for Durable Medical Equipment & Medical Supplies in Texas.
Tide Medical Supply is 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.


DME Supplier Details:
Tide Medical Supply type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
Name: Tide Medical Supply
Type: Durable Medical Equipment & Medical Supplies
Location:2304 Oak Ln, Suite 13, Grand Prairie,
Texas, 75051-8812
Phone:972-264-3000
Fax:972-264-3000
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
Name: Mr. Thomas Adedayo Ogungbire
Position: Owner
Contact Number: 972-264-3000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
NPI Number: 1821276973
NPI Enumeration Date: 31 Jan, 2008
NPI Last Update On: 31 Jan, 2008

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tide Medical Supply are as mentioned below.
SpecializationLicense NumberStateStatus
Durable Medical Equipment & Medical Supplies 0089915TexasPrimary
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
187864701MedicaidTexas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 2304 Oak Ln, Suite 13
Grand Prairie, Texas
Zip: 75051-8812
Phone Number: 972-264-3000
Fax Number: 972-264-3000
Patients can reach Tide Medical Supply at 2304 Oak Ln, Suite 13, Grand Prairie, Texas or can call on customer care at 972-264-3000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.