# MEMORIAL MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1497828636
- **Authorized official:** MR. ANTONIO M. DOTSON (OFFICE WORKER)
- **Authorized official phone:** (281) 556-6565

## Contact information

- **Practice address:** 1009B DAIRY ASHFORD ST, HOUSTON, TX 77079-4602
- **Practice address phone:** (281) 556-6565
- **Practice address fax:** (281) 556-6566
- **Mailing address:** 1009B DAIRY ASHFORD ST, HOUSTON, TX 77079-4602
- **Mailing address phone:** (281) 556-6565
- **Mailing address fax:** (281) 556-6566

## Taxonomy

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

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 07/21/2022