MEDICARE: COMPASSIONATE MEDICAL SUPPLY COMPANY

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	0088108	TX

General Provider Information

NPI Number	:	1982749487
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE MEDICAL SUPPLY COMPANY

Provider Business Mailing Address
First Line	:	4709 CURRY RD STE A
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78542-9044
Country	:	US
Telephone Number	:	956-383-2400
Fax Number	:	956-383-2424

Provider Business Practice Location Address
First Line	:	4709 CURRY RD STE A
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78542-9044
Country	:	US
Telephone Number	:	956-383-2400
Fax Number	:	956-383-2424

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ANNA AMBRIZ
Credential	:
Telephone Number	:	956-383-2400

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	03/28/2012

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Directions to “COMPASSIONATE MEDICAL SUPPLY COMPANY ” Practice Location

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