Organization
GREAT AMERICAN MEDICAL SUPPLY LLC
Active
Other names
Great American Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CRISMAN (VICE PRESIDENT)
(832) 404-6186
Entity
Organization
Contact information
Practice address
2111 FM 1960 RD E STE B, HUMBLE, TX 77338-5229
(877) 442-6787
(832) 371-6296
Mailing address
2111 FM 1960 RD E STE B, HUMBLE, TX 77338-5229
(877) 442-6787
(832) 371-6296
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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