# AT HOME MEDICAL SUPPLY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** At Home Medical Equipment
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588727937
- **Authorized official:** MR. JOHN M. MATHIS (DIRECTOR, RETAIL DME)
- **Authorized official phone:** (830) 608-0305

## Contact information

- **Practice address:** 651 N BUSINESS IH 35, SUITE 330, NEW BRAUNFELS, TX 78130-7874
- **Practice address phone:** (830) 698-0305
- **Practice address fax:** (830) 620-0796
- **Mailing address:** 651 N BUSINESS IH 35, SUITE 330, NEW BRAUNFELS, TX 78130-7874
- **Mailing address phone:** (830) 698-0305
- **Mailing address fax:** (830) 620-0796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 412914 | TX | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | TX 0013805 | TX | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 412914 | TX | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 10/16/2008