# SOUTHERN MEDICAL SUPPLIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern DME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366934093
- **Authorized official:** SCOTT WILLA (MANAGER)
- **Authorized official phone:** (713) 568-7775

## Contact information

- **Practice address:** 13426 N HIGHWAY 75 STE 3, WILLIS, TX 77378-1007
- **Practice address phone:** (713) 568-7775
- **Mailing address:** PO BOX 734129, DALLAS, TX 75373-4129
- **Mailing address phone:** (713) 568-7775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1002145 | TX | Yes |

## Other

- **Enumeration date:** 05/30/2018
- **Last updated:** 10/21/2024