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NPI Code Detail

MEDICARE: DEVICE SUPPLY MANAGEMENT LLC

MEDICARE: DEVICE SUPPLY MANAGEMENT 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 Supplies1001581TX

General Provider Information

NPI Number : 1871978742
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEVICE SUPPLY MANAGEMENT LLC
Provider Business Mailing Address
First Line : 2717 COMMERCIAL CENTER BLVD
Second Line : STE. E200
City : KATY
State : TX
Zip : 77494-6410
Country : US
Telephone Number : 832-913-5014
Fax Number : 888-330-7541
Provider Business Practice Location Address
First Line : 2717 COMMERCIAL CENTER BLVD
Second Line : STE. E200
City : KATY
State : TX
Zip : 77494-6410
Country : US
Telephone Number : 832-913-5014
Fax Number : 888-330-7541
Authorized Official
Title or Position : MANAGER
Name : COREY SANDERS
Credential :
Telephone Number : 832-913-5014
Provider Enumeration Date : 07/21/2015
Last Update Date : 07/21/2015

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Directions to “DEVICE SUPPLY MANAGEMENT LLC ” Practice Location

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