# IMPACTDME LLC

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

## Provider details

- **NPI number:** 1861805475
- **Authorized official:** PATRICK DAVIDSON BA, MA (CEO)
- **Authorized official phone:** (248) 626-3100

## Contact information

- **Practice address:** 1888 STEBBINS DR STE 100A, HOUSTON, TX 77043-2841
- **Practice address phone:** (832) 819-3120
- **Mailing address:** 1127 ELDRIDGE PKWY, SUITE 300-370, HOUSTON, TX 77077-1771

## Taxonomy

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

## Other

- **Enumeration date:** 06/11/2014
- **Last updated:** 04/30/2025
