Organization
INTERMED MEDICAL SUPPLY, INC.
Active
Other names
InterMED Medical Supply & Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG EDWARD YAGER (PRESIDENT)
(281) 534-0854
Entity
Organization
Contact information
Practice address
5145 PRESTON AVE, STE 190, PASADENA, TX 77505-2055
(281) 534-0854
(281) 534-0860
Mailing address
5145 PRESTON AVE, STE 190, PASADENA, TX 77505-2055
(281) 534-0854
(281) 534-0860
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186262501
—
TX
05
—
186262502
—
TX
Enumeration date
08/22/2006
Last updated
01/05/2015
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