# K & M MEDICAL SUPPLY, INC.

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

## Provider details

- **NPI number:** 1801125240
- **Authorized official:** MRS. MATTIE MAE TYO (OFFICE MANAGER)
- **Authorized official phone:** (713) 822-2945

## Contact information

- **Practice address:** 11901 SHADOW CREEK PKWY, SUITE 103, PEARLAND, TX 77584-7346
- **Practice address phone:** (713) 822-2945
- **Practice address fax:** (281) 741-0954
- **Mailing address:** 2440 TEXAS PARKWAY, \#330, MISSOURI CITY, TX 77489
- **Mailing address phone:** (713) 822-2945
- **Mailing address fax:** (281) 403-9658

## Taxonomy

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

## Other

- **Enumeration date:** 12/14/2009
- **Last updated:** 11/15/2011