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NPI Code Detail

MEDICARE: REALMED SUPPLY LLC

MEDICARE: REALMED 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1265387856
Entity Type Code : Organization
Provider Name (Legal Business Name) : REALMED SUPPLY LLC
Provider Business Mailing Address
First Line : 25807 WESTHEIMER PKWY STE 351
Second Line :
City : KATY
State : TX
Zip : 77494-5370
Country : US
Telephone Number : 832-908-7776
Fax Number :
Provider Business Practice Location Address
First Line : 25807 WESTHEIMER PKWY STE 351
Second Line :
City : KATY
State : TX
Zip : 77494-5370
Country : US
Telephone Number : 832-908-7776
Fax Number :
Authorized Official
Title or Position : OWNER
Name : HANIF M GHANCHI
Credential : OWNER
Telephone Number : 832-908-7776
Provider Enumeration Date : 02/28/2026
Last Update Date : 03/09/2026

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Directions to “REALMED SUPPLY LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.