# OPTERON MED SUPPLY LLC

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

## Provider details

- **NPI number:** 1568258572
- **Authorized official:** MUHAMMAD TANVEER KHAN (OWNER)
- **Authorized official phone:** (331) 551-3848

## Contact information

- **Practice address:** 15901 CENTRAL COMMERCE DR STE 2, PFLUGERVILLE, TX 78660-2041
- **Practice address phone:** (331) 551-3848
- **Mailing address:** 15901 CENTRAL COMMERCE DR STE 2, PFLUGERVILLE, TX 78660-2041
- **Mailing address phone:** (331) 551-3848

## Taxonomy

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

## Other

- **Enumeration date:** 04/16/2025
- **Last updated:** 04/16/2025