# SUPPLY MEDICAL USA, LLC

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

## Provider details

- **NPI number:** 1568719383
- **Authorized official:** TERRELL EDWARD CARMON (CEO/OWNER)
- **Authorized official phone:** (713) 366-6279

## Contact information

- **Practice address:** 4141 SOUTHWEST FWY STE 505B, HOUSTON, TX 77027-7334
- **Practice address phone:** (713) 366-6279
- **Practice address fax:** (713) 960-1122
- **Mailing address:** 4141 SOUTHWEST FWY STE 505B, HOUSTON, TX 77027-7334
- **Mailing address phone:** (713) 366-6279
- **Mailing address fax:** (713) 960-1122

## Taxonomy

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

## Other

- **Enumeration date:** 08/10/2012
- **Last updated:** 08/10/2012