# MIDLAND MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1710606801
- **Authorized official:** CHRISTOPHER BREEDWELL (OWNER)
- **Authorized official phone:** (310) 270-5044

## Contact information

- **Practice address:** 2215 N MIDLAND DR STE 4C-2, MIDLAND, TX 79707-5561
- **Practice address phone:** (432) 789-2210
- **Practice address fax:** (432) 445-7872
- **Mailing address:** 2215 N MIDLAND DR STE 4C-2, MIDLAND, TX 79707-5561
- **Mailing address phone:** (432) 789-2210
- **Mailing address fax:** (432) 445-7872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 08/23/2022
- **Last updated:** 08/31/2022