Organization
ALLIANCE MEDICAL SUPPLY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL DARREN BERRYHILL RRT (PRESIDENT)
(432) 580-0171
Entity
Organization
Contact information
Practice address
423 ANDREWS HWY, MIDLAND, TX 79701-5835
(432) 620-0319
(432) 620-0668
Mailing address
423 ANDREWS HWY, MIDLAND, TX 79701-5835
(432) 620-0319
(432) 620-0668
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0046215
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010067901
—
TX
Enumeration date
03/19/2010
Last updated
03/19/2010
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