Apache Medical Supply LLC
Durable Medical Equipment & Medical Supplies in Pearland, TX. Organization (NPI-2).
NPI number1891032603
StatusActive
Last updated in NPPESFeb 23, 2022
Details
- NPI
- 1891032603
- Entity type
- Organization (NPI-2)
- Legal business name
- Apache Medical Supply LLC
- Organization subpart
- No
- Enumeration date
- Jan 14, 2013
- Certification date
- Feb 23, 2022
- Last updated
- Feb 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
11200 Broadway St Ste 2743Room # 251
Pearland, TX 77584-9787
Phone 866-542-3020 · Fax 346-816-7690
Mailing address
12400 Shadow Creek Pkwy2743
Rosharon, TX 77583-2043
Phone 866-542-3020 · Fax 713-999-0443
Authorized official
Keith Jason Hebert
Owner
8665423020
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