# LIFE SUPPORT MED SUPPLIES LLC

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

## Provider details

- **NPI number:** 1144046400
- **Authorized official:** MR. EHSAN IMAM (PRESIDENT)
- **Authorized official phone:** (713) 893-7461

## Contact information

- **Practice address:** 8203 WILLOW PLACE DR S STE 145, HOUSTON, TX 77070-5528
- **Practice address phone:** (713) 893-7461
- **Mailing address:** 8203 WILLOW PLACE DR S STE 145, HOUSTON, TX 77070-5528
- **Mailing address phone:** (713) 893-7461

## Taxonomy

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

## Other

- **Enumeration date:** 12/02/2024
- **Last updated:** 12/02/2024