Organization
PRO MED SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIAZ ALI (MANAGING MEMBER)
(916) 299-9896
Entity
Organization
Contact information
Practice address
8617 SPICEWOOD SPRINGS RD APT 246, AUSTIN, TX 78759-4358
(916) 299-9896
Mailing address
8617 SPICEWOOD SPRINGS RD APT 246, AUSTIN, TX 78759-4358
(916) 299-9896
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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