# ANGEL MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1750608147
- **Authorized official:** MR. DAVID ANGEL (CHAIRMAN)
- **Authorized official phone:** (713) 856-9930

## Contact information

- **Practice address:** 5829 W SAM HOUSTON PKWY N, SUITE 1209, HOUSTON, TX 77041-4745
- **Practice address phone:** (713) 856-9930
- **Practice address fax:** (713) 856-9945
- **Mailing address:** 5829 W SAM HOUSTON PKWY N, SUITE 1209, HOUSTON, TX 77041-4745
- **Mailing address phone:** (713) 856-9930
- **Mailing address fax:** (713) 856-9945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |
| 335G00000X | Medical Foods Supplier | — | NULL | — |

## Other

- **Enumeration date:** 04/26/2010
- **Last updated:** 12/31/2024
