Organization
PURELIFE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INFANT CORONADO (OWNER)
(945) 346-9150
Entity
Organization
Contact information
Practice address
5900 BALCONES DR # 9235, AUSTIN, TX 78731-4257
(469) 758-0055
Mailing address
5900 BALCONES DR # 9235, AUSTIN, TX 78731-4257
(469) 758-0055
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
11/26/2025
Last updated
05/07/2026
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