# ACTION MEDSOURCE LLC.

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

## Provider details

- **NPI number:** 1366646564
- **Authorized official:** MR. JASON BLAINE RICHARDS (MANAGER)
- **Authorized official phone:** (903) 530-4791

## Contact information

- **Practice address:** 709 HOLLYBROOK DR, SUITE 3401, LONGVIEW, TX 75605-2411
- **Practice address phone:** (903) 530-4791
- **Mailing address:** PO BOX 131416, TYLER, TX 75713-1416
- **Mailing address phone:** (903) 530-4791

## Taxonomy

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

## Other

- **Enumeration date:** 06/12/2007
- **Last updated:** 08/22/2020