# CROWN MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1699106153
- **Authorized official:** GREGORY OMIGIE (OPS MRG)
- **Authorized official phone:** (832) 388-9991

## Contact information

- **Practice address:** 6315 RUMFORD LN, HOUSTON, TX 77084-2051
- **Practice address phone:** (832) 388-9991
- **Practice address fax:** (832) 449-3233
- **Mailing address:** 6315 RUMFORD LN, HOUSTON, TX 77084-2051
- **Mailing address phone:** (832) 388-9991
- **Mailing address fax:** (832) 449-3233

## Taxonomy

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

## Other

- **Enumeration date:** 12/10/2013
- **Last updated:** 12/10/2013