Organization
LIFE SUPPORT MED SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EHSAN IMAM (PRESIDENT)
(713) 893-7461
Entity
Organization
Contact information
Practice address
8203 WILLOW PLACE DR S STE 145, HOUSTON, TX 77070-5528
(713) 893-7461
Mailing address
8203 WILLOW PLACE DR S STE 145, HOUSTON, TX 77070-5528
(713) 893-7461
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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