# ACTION02 MEDICAL SUPPLIES,LLC

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

## Provider details

- **NPI number:** 1811071236
- **Authorized official:** MS. CYNTHIA R HORNE RN, BSN (OWNER)
- **Authorized official phone:** (936) 544-7202

## Contact information

- **Practice address:** 106 N GRACE ST, CROCKETT, TX 75835-1722
- **Practice address phone:** (936) 544-7202
- **Practice address fax:** (936) 546-2029
- **Mailing address:** 106 N GRACE ST, CROCKETT, TX 75835-1722
- **Mailing address phone:** (936) 544-7202
- **Mailing address fax:** (936) 546-2029

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 08/22/2020
