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Organization

AMIGOMED, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PEARY PERRY (PRESIDENT)
(281) 302-6027
Entity
Organization

Contact information

Practice address
12808 W. AIRPORT, 325 C, SUGAR LAND, TX 77478
(281) 302-6027
(832) 886-4268
Mailing address
12808 W. AIRPORT, SUITE 325 C, SUGAR LAND, TX 77478
(281) 302-6027
(832) 886-4268

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1000364
TX
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2144289(01)
TX
05
214428901
TX
01
533351
BCBS PIN
TX
Enumeration date
03/09/2010
Last updated
02/05/2013
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