# SS MEDICAL SUPPLY

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710139142
- **Authorized official:** MR. ANTONIO L HOLLEY (OWNER)
- **Authorized official phone:** (281) 251-5635

## Contact information

- **Practice address:** 22927 LILY CREEK DR, TOMBALL, TX 77375-2796
- **Practice address phone:** (281) 251-5635
- **Mailing address:** 22927 LILY CREEK DR, TOMBALL, TX 77375-2796
- **Mailing address phone:** (281) 251-5635

## Taxonomy

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

## Other

- **Enumeration date:** 10/16/2008
- **Last updated:** 10/16/2008