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General NPI Number Information
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NPI Number | 1245238138
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Entity Type | Organization
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Legal Business Name | KMA MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 9623 SOUTHWEST FWY
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City | HOUSTON
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State | TX
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Zip | 77074-1332
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Country | US
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Telephone | 713-772-7070
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Fax | 713-772-7017
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Provider Business Mailing Address
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Address Line | 9623 SOUTHWEST FWY
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City | HOUSTON
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State | TX
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Zip | 77074-1332
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Country | US
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Telephone | 713-772-7070
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Fax | 713-772-7017
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Authorized Official
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Title or Position | C.E.O.
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Name | MARY KOSHIE ARTHUR
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Credential | N/A
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Telephone | 713-772-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | TDH 0062868
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License Number State | TX
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