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General NPI Number Information
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NPI Number | 1750608147
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Entity Type | Organization
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Legal Business Name | ANGEL MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 04/26/2010
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 5829 W SAM HOUSTON PKWY N SUITE 1209
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City | HOUSTON
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State | TX
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Zip | 77041-4745
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Country | US
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Telephone | 713-856-9930
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Fax | 713-856-9945
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Provider Business Mailing Address
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Address Line | 5829 W SAM HOUSTON PKWY N SUITE 1209
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City | HOUSTON
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State | TX
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Zip | 77041-4745
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Country | US
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Telephone | 713-856-9930
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Fax | 713-856-9945
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Authorized Official
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Title or Position | CHAIRMAN
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Name | MR. DAVID ANGEL
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Credential |
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Telephone | 713-856-9930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 335G00000X
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Taxonomy Name | Medical Foods Supplier
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License Number |
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License Number State |
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Taxonomy #4
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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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