# HAYS MEDICAL SUPPLY LLC JUDSON STURDIVANT SOLE MBR

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HAYS MEDICAL SUPPLY LLC JUDSON STURDIVANT SOLE MBR
- **Other names:** Parkcrest Medical Supply
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669074571
- **Legal business name:** HAYS MEDICAL SUPPLY LLC JUDSON STURDIVANT SOLE MBR
- **Authorized official:** JUDSON STURDIVANT (CEO)
- **Authorized official phone:** (512) 697-9896

## Contact information

- **Practice address:** 5508 PARKCREST DR STE 310, AUSTIN, TX 78731-4915
- **Practice address phone:** (512) 697-9896
- **Mailing address:** 5508 PARKCREST DR STE 310, AUSTIN, TX 78731-4915

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2020
- **Last updated:** 11/16/2020