MEDICARE: AMERICAN INTEGRITY MEDICAL SUPPLY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1093525552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN INTEGRITY MEDICAL SUPPLY LLC

Provider Business Mailing Address
First Line	:	1322 SPACE PARK DR STE C117
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2816
Country	:	US
Telephone Number	:	281-971-1040
Fax Number	:	281-971-1029

Provider Business Practice Location Address
First Line	:	1322 SPACE PARK DR STE C117
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2816
Country	:	US
Telephone Number	:	281-971-1040
Fax Number	:	281-971-1029

Authorized Official
Title or Position	:	OWNER
Name	:	OLEKSANDR KRYVOSHEI
Credential	:
Telephone Number	:	281-971-1040

Provider Enumeration Date	:	01/08/2025
Last Update Date	:	03/18/2026

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