Organization
KMA MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KOSHIE ARTHUR N/A (C.E.O.)
(713) 772-7070
Entity
Organization
Contact information
Practice address
9623 SOUTHWEST FWY, HOUSTON, TX 77074-1332
(713) 772-7070
(713) 772-7017
Mailing address
9623 SOUTHWEST FWY, HOUSTON, TX 77074-1332
(713) 772-7070
(713) 772-7017
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
TDH 0062868
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172243-02/172243-01
—
TX
01
—
531657
BLUE CROSS,BLUE SHIELD,TX
—
Enumeration date
07/13/2005
Last updated
09/06/2023
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