# U S OSTOMY SUPPLY INC

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

## Provider details

- **NPI number:** 1104849561
- **Authorized official:** MR. MAHMOUD AMIN SIDDIG (PRESIDENT)
- **Authorized official phone:** (817) 354-9882

## Contact information

- **Practice address:** 2350 AIRPORT FWY, SUITE \#230, BEDFORD, TX 76022-6031
- **Practice address phone:** (817) 354-9882
- **Practice address fax:** (817) 354-8076
- **Mailing address:** 2350 AIRPORT FWY, SUITE \#230, BEDFORD, TX 76022-6031
- **Mailing address phone:** (817) 354-9882
- **Mailing address fax:** (817) 354-8076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0088518 | TX | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 08/22/2020