Provider Demographics
NPI:1871978742
Name:DEVICE SUPPLY MANAGEMENT LLC
Entity type:Organization
Organization Name:DEVICE SUPPLY MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:COREY
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-913-5014
Mailing Address - Street 1:2717 COMMERCIAL CENTER BLVD
Mailing Address - Street 2:STE. E200
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6410
Mailing Address - Country:US
Mailing Address - Phone:832-913-5014
Mailing Address - Fax:888-330-7541
Practice Address - Street 1:2717 COMMERCIAL CENTER BLVD
Practice Address - Street 2:STE. E200
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6410
Practice Address - Country:US
Practice Address - Phone:832-913-5014
Practice Address - Fax:888-330-7541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1001581332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies