# TRIANGLE MEDICAL SUPPLY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053613281
- **Authorized official:** DR. BODRE RISING DC (OWNER)
- **Authorized official phone:** (409) 840-9300

## Contact information

- **Practice address:** 5755 COLLEGE ST, SUITE S, BEAUMONT, TX 77707-3518
- **Practice address phone:** (409) 840-9300
- **Practice address fax:** (409) 842-4960
- **Mailing address:** 5755 COLLEGE ST, SUITE S, BEAUMONT, TX 77707-3518
- **Mailing address phone:** (409) 840-9300
- **Mailing address fax:** (409) 842-4960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/19/2010
- **Last updated:** 11/19/2010