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General NPI Number Information
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NPI Number | 1538742796
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Entity Type | Organization
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Legal Business Name | ADVANCED MEDICAL SUPPLY CO.
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 17538 KUYKENDAHL RD STE 1
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City | SPRING
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State | TX
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Zip | 77379-8326
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Country | US
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Telephone | 281-719-5160
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Fax |
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Provider Business Mailing Address
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Address Line | 6046 FM 2920 RD # 209
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City | SPRING
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State | TX
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Zip | 77379-2542
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Country | US
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Telephone | 183-291-6018
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CLAUDIA LUNA
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Credential |
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Telephone | 281-719-5160
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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 |
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License Number State |
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