# O C MEDICAL SUPPLY INC

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

## Provider details

- **NPI number:** 1770529679
- **Authorized official:** DOUGLAS ELLIS (PRESIDENT)
- **Authorized official phone:** (512) 301-5591

## Contact information

- **Practice address:** 7017 WANDERING OAK RD, AUSTIN, TX 78749-1894
- **Practice address phone:** (512) 301-5591
- **Mailing address:** PO BOX 90844, AUSTIN, TX 78709-0844
- **Mailing address phone:** (512) 301-5591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0078297 | TX | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 08/22/2020
