# PEGASUS MEDICAL SUPPLY INC

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

## Provider details

- **NPI number:** 1144258740
- **Authorized official:** MICHAEL CHARLES GAYLE PT (OWNER)
- **Authorized official phone:** (512) 918-0044

## Contact information

- **Practice address:** 1103 CYPRESS CREEK RD, STE 103, CEDAR PARK, TX 78613-3924
- **Practice address phone:** (512) 918-0044
- **Practice address fax:** (512) 918-0045
- **Mailing address:** 1103 CYPRESS CREEK RD, STE 103, CEDAR PARK, TX 78613-3924
- **Mailing address phone:** (512) 918-0044
- **Mailing address fax:** (512) 918-0045

## Taxonomy

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

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 08/22/2020