Organization
HEAVENLY ANGELS DURABLE MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGEL MICHELLE REED (OWNER)
(979) 823-5200
Entity
Organization
Contact information
Practice address
1706 E 29TH ST, STE. 103, BRYAN, TX 77802-1425
(979) 823-5200
Mailing address
1706 E 29TH ST, STE. 103, BRYAN, TX 77802-1425
(979) 823-5200
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0089725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183214901
—
TX
Enumeration date
01/23/2008
Last updated
10/29/2008
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