Healthcare Provider Details

I. General information

NPI: 1215822945
Provider Name (Legal Business Name): AMIOKAMED DME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2273 GARDEN SQUARE PATH
SPRING TX
77386-1037
US

IV. Provider business mailing address

2273 GARDEN SQUARE PATH
SPRING TX
77386-1037
US

V. Phone/Fax

Practice location:
  • Phone: 469-903-2438
  • Fax: 469-726-3740
Mailing address:
  • Phone: 469-903-2438
  • Fax: 469-726-3740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: COMLAN ESSENAME ASSIGNON
Title or Position: OWNER
Credential:
Phone: 469-903-2438