Organization
IMPACT MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLI CHAPMAN (OWNER)
(409) 402-4940
Entity
Organization
Contact information
Practice address
15 WIND TRACE CT, THE WOODLANDS, TX 77381-2651
(409) 402-4940
(409) 684-0343
Mailing address
15 WIND TRACE CT, THE WOODLANDS, TX 77381-2651
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
04/09/2020
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