Organization
APACHE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH JASON HEBERT (OWNER)
(866) 542-3020
Entity
Organization
Contact information
Practice address
11200 BROADWAY ST STE 2743, PEARLAND, TX 77584-9787
(866) 542-3020
(346) 816-7690
Mailing address
7324 SOUTHWEST FWY STE 300, HOUSTON, TX 77074-2043
(866) 542-3020
(713) 999-0443
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
03/06/2014
Last updated
09/01/2021
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