NPI Code Detail JSON Logo

1750608147 NPI number — ANGEL MEDICAL SUPPLY LLC

NPI Number: 1750608147
Health Care Provider/Practitioner: ANGEL MEDICAL SUPPLY LLC

Information about “1750608147” NPI (ANGEL MEDICAL SUPPLY LLC) exists in 1750608147 in HTML format HTML  |  1750608147 in plain Text format TXT  |  1750608147 in PDF (Portable Document Format) PDF  |  1750608147 in an XML format XML  formats.

NPI Number : 1750608147 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750608147",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ANGEL MEDICAL SUPPLY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5829 W SAM HOUSTON PKWY N",
    "SecondLineMailingAddress": "SUITE 1209",
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77041-4745",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "713-856-9930",
    "MailingAddressFaxNumber": "713-856-9945",
    "FirstLinePracticeLocationAddress": "5829 W SAM HOUSTON PKWY N",
    "SecondLinePracticeLocationAddress": "SUITE 1209",
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77041-4745",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "713-856-9930",
    "PracticeLocationAddressFaxNumber": "713-856-9945",
    "EnumerationDate": "04/26/2010",
    "LastUpdateDate": "12/31/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ANGEL",
    "AuthorizedOfficialFirstName": "DAVID",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHAIRMAN",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "713-856-9930",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332BP3500X",
          "TaxonomyName": "Parenteral & Enteral Nutrition Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BX2000X",
          "TaxonomyName": "Oxygen Equipment & Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "335G00000X",
          "TaxonomyName": "Medical Foods Supplier",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.