# APACHE MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1891032603
- **Authorized official:** MR. KEITH JASON HEBERT (OWNER)
- **Authorized official phone:** (866) 542-3020

## Contact information

- **Practice address:** 11200 BROADWAY ST STE 2743, ROOM \# 251, PEARLAND, TX 77584-9787
- **Practice address phone:** (866) 542-3020
- **Practice address fax:** (346) 816-7690
- **Mailing address:** 12400 SHADOW CREEK PKWY, 2743, ROSHARON, TX 77583-2043
- **Mailing address phone:** (866) 542-3020
- **Mailing address fax:** (713) 999-0443

## Taxonomy

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

## Other

- **Enumeration date:** 01/14/2013
- **Last updated:** 02/23/2022