# MARYAM LOCAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MARYAM LOCAL LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336027846
- **Authorized official:** MARYAM KHAN (OFFICE MANAGER)
- **Authorized official phone:** (929) 933-5465

## Contact information

- **Practice address:** 21410 LIAN FALLS LN, RICHMOND, TX 77407-7154
- **Practice address phone:** (929) 933-5465
- **Mailing address:** 21410 LIAN FALLS LN, RICHMOND, TX 77407-7154
- **Mailing address phone:** (929) 933-5465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 08/22/2025
- **Last updated:** 08/22/2025