# GALAXY MEDICAL SUPPLY, LLC

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

## Provider details

- **NPI number:** 1740272764
- **Authorized official:** ENITAN OSAGIE ISIWELE (MANAGING MEMBER)
- **Authorized official phone:** (713) 974-4600

## Contact information

- **Practice address:** 6430 RICHMOND AVE, SUITE \# 250-14, HOUSTON, TX 77057-5917
- **Practice address phone:** (713) 974-4600
- **Practice address fax:** (713) 974-4602
- **Mailing address:** 6430 RICHMOND AVE, SUITE \# 250-14, HOUSTON, TX 77057-5917
- **Mailing address phone:** (713) 974-4600
- **Mailing address fax:** (713) 974-4602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0079993 | TX | Yes |

## Other

- **Enumeration date:** 08/16/2005
- **Last updated:** 08/22/2020