# INTERMED MEDICAL SUPPLY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** InterMED Medical Supply & Mobility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265548937
- **Authorized official:** MR. CRAIG EDWARD YAGER (PRESIDENT)
- **Authorized official phone:** (281) 534-0854

## Contact information

- **Practice address:** 5145 PRESTON AVE, STE 190, PASADENA, TX 77505-2055
- **Practice address phone:** (281) 534-0854
- **Practice address fax:** (281) 534-0860
- **Mailing address:** 5145 PRESTON AVE, STE 190, PASADENA, TX 77505-2055
- **Mailing address phone:** (281) 534-0854
- **Mailing address fax:** (281) 534-0860

## Taxonomy

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

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 01/05/2015
