# IMPACT MEDICAL SUPPLY, LLC

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

## Provider details

- **NPI number:** 1972140556
- **Authorized official:** MARLI CHAPMAN (OWNER)
- **Authorized official phone:** (409) 402-4940

## Contact information

- **Practice address:** 15 WIND TRACE CT, THE WOODLANDS, TX 77381-2651
- **Practice address phone:** (409) 402-4940
- **Practice address fax:** (409) 684-0343
- **Mailing address:** 15 WIND TRACE CT, THE WOODLANDS, TX 77381-2651

## Taxonomy

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

## Other

- **Enumeration date:** 12/03/2019
- **Last updated:** 04/09/2020