# CROWN MEDICAL SUPPLY, LLC

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

## Provider details

- **NPI number:** 1225359417
- **Authorized official:** MR. KAMLO NELSON NGASSA (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (713) 995-0944

## Contact information

- **Practice address:** 8700 COMMERCE PARK DR, SUITE 200, HOUSTON, TX 77036-7497
- **Practice address phone:** (713) 995-0944
- **Practice address fax:** (713) 995-0933
- **Mailing address:** 8700 COMMERCE PARK DR, SUITE 200, HOUSTON, TX 77036-7497
- **Mailing address phone:** (713) 995-0944
- **Mailing address fax:** (713) 995-0933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1000032 | TX | Yes |

## Other

- **Enumeration date:** 06/22/2010
- **Last updated:** 08/12/2011