Organization
ASSISTED LIVING MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUBARA FORUN (DIRECTOR)
(832) 252-1100
Entity
Organization
Contact information
Practice address
6650 SOUTHWEST FWY, HOUSTON, TX 77074-2210
(832) 252-1100
(832) 252-1101
Mailing address
6650 SOUTHWEST FWY, HOUSTON, TX 77074-2210
(832) 252-1100
(832) 252-1101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165460001
—
TX
05
—
165460002
—
TX
05
—
165460003
—
TX
Enumeration date
07/12/2005
Last updated
06/02/2008
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