# RICKY LEE COLEMAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jasper County Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447522289
- **Authorized official:** ALESHA GUNTER (OFFICE MANAGER)
- **Authorized official phone:** (409) 622-2884

## Contact information

- **Practice address:** 3148 COUNTY ROAD 480, KIRBYVILLE, TX 75956-4328
- **Practice address phone:** (409) 622-2635
- **Mailing address:** PO BOX 1092, KIRBYVILLE, TX 75956-1092
- **Mailing address phone:** (409) 622-2635

## Taxonomy

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

## Other

- **Enumeration date:** 02/08/2012
- **Last updated:** 02/08/2012