# ALLIANCE MEDICAL SUPPLY, INC.

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

## Provider details

- **NPI number:** 1962777599
- **Authorized official:** SAMUEL DARREN BERRYHILL RRT,RCP (PRESIDENT)
- **Authorized official phone:** (432) 580-0171

## Contact information

- **Practice address:** 10643 SENTINEL ST, SAN ANTONIO, TX 78217-3811
- **Practice address phone:** (210) 737-2444
- **Practice address fax:** (210) 737-2445
- **Mailing address:** 2333 E 8TH ST, ODESSA, TX 79761-4209
- **Mailing address phone:** (432) 580-0171
- **Mailing address fax:** (432) 580-7686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 0046215 | TX | Yes |

## Other

- **Enumeration date:** 03/15/2012
- **Last updated:** 03/05/2013