# EMPIRE MEDICAL SUPPLY INC

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

## Provider details

- **NPI number:** 1457380560
- **Authorized official:** MS. ENOBONG I EDWARD (DIRECTOR)
- **Authorized official phone:** (281) 403-2595

## Contact information

- **Practice address:** 13955 MURPHY RD, SUITE 205, STAFFORD, TX 77477-4920
- **Practice address phone:** (281) 403-2595
- **Practice address fax:** (281) 403-2624
- **Mailing address:** PO BOX 2546, STAFFORD, TX 77497-2546
- **Mailing address phone:** (281) 403-2595
- **Mailing address fax:** (281) 403-2624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0062812 | TX | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 08/22/2020