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Organization

ALLIANCE MEDICAL SUPPLY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL DARREN BERRYHILL RRT,RCP (PRESIDENT)
(432) 580-0171
Entity
Organization

Contact information

Practice address
10643 SENTINEL ST, SAN ANTONIO, TX 78217-3811
(210) 737-2444
(210) 737-2445
Mailing address
2333 E 8TH ST, ODESSA, TX 79761-4209
(432) 580-0171
(432) 580-7686

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
03/15/2012
Last updated
03/05/2013
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