Organization
APACHE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH JASON HEBERT (OWNER)
(866) 542-3020
Entity
Organization
Contact information
Practice address
11200 BROADWAY ST STE 2743, ROOM # 251, PEARLAND, TX 77584-9787
(866) 542-3020
(346) 816-7690
Mailing address
12400 SHADOW CREEK PKWY, 2743, ROSHARON, TX 77583-2043
(866) 542-3020
(713) 999-0443
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3413601-01
—
TX
Enumeration date
01/14/2013
Last updated
02/23/2022
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