# CRAWFORD MEDICAL SUPPLIES LLC

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

## Provider details

- **NPI number:** 1881961191
- **Authorized official:** MR. PREM KALIDINDI (MANAGING MEMBER)
- **Authorized official phone:** (917) 769-8014

## Contact information

- **Practice address:** 2608 N MAIN AVE, SUITE 2, SAN ANTONIO, TX 78212-2919
- **Practice address phone:** (210) 225-7400
- **Practice address fax:** (210) 569-6266
- **Mailing address:** 2608 N MAIN AVE, SUITE 2, SAN ANTONIO, TX 78212-2919
- **Mailing address phone:** (210) 225-7400
- **Mailing address fax:** (210) 569-6266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |
| 335G00000X | Medical Foods Supplier | — | NULL | — |

## Other

- **Enumeration date:** 11/30/2011
- **Last updated:** 04/12/2013