Apache Medical Supply
Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition in Pearland, TX. Organization (NPI-2).
NPI number1184040719
StatusActive
Last updated in NPPESSep 1, 2021
Details
- NPI
- 1184040719
- Entity type
- Organization (NPI-2)
- Legal business name
- Apache Medical Supply
- Organization subpart
- No
- Enumeration date
- Mar 6, 2014
- Certification date
- Sep 1, 2021
- Last updated
- Sep 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BP3500X | Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
11200 Broadway St Ste 2743Pearland, TX 77584-9787
Phone 866-542-3020 · Fax 346-816-7690
Mailing address
7324 Southwest Fwy Ste 300Houston, TX 77074-2043
Phone 866-542-3020 · Fax 713-999-0443
Authorized official
Keith Jason Hebert
Owner
8665423020
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