Organization
PBR MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRISTA MOORE (OWNER)
(832) 978-4578
Entity
Organization
Contact information
Practice address
23415 GOOD DALE LN, SPRING, TX 77373-7042
(832) 978-4578
(832) 375-0169
Mailing address
23415 GOOD DALE LN, SPRING, TX 77373-7042
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/12/2006
Last updated
09/07/2012
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