Organization
CROWN MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAMLO NELSON NGASSA (OWNER/ADMINISTRATOR)
(713) 995-0944
Entity
Organization
Contact information
Practice address
8700 COMMERCE PARK DR, SUITE 200, HOUSTON, TX 77036-7497
(713) 995-0944
(713) 995-0933
Mailing address
8700 COMMERCE PARK DR, SUITE 200, HOUSTON, TX 77036-7497
(713) 995-0944
(713) 995-0933
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000032
TX
Other
Enumeration date
06/22/2010
Last updated
08/12/2011
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