# KING ROSS MEDICAL SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Year
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750999306
- **Authorized official:** CEDRIC THURSTON ROSS KING (MANAGER)
- **Authorized official phone:** (346) 763-5935

## Contact information

- **Practice address:** 5200 MITCHELLDALE ST STE F21, HOUSTON, TX 77092-7221
- **Practice address phone:** (346) 763-5935
- **Practice address fax:** (832) 383-7385
- **Mailing address:** 5200 MITCHELLDALE ST STE F21, HOUSTON, TX 77092-7221
- **Mailing address phone:** (346) 763-5935
- **Mailing address fax:** (832) 383-7385

## Taxonomy

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

## Other

- **Enumeration date:** 07/20/2020
- **Last updated:** 07/27/2020