Provider Demographics
NPI:1265468474
Name:A&M MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:A&M MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUDETTE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-352-5100
Mailing Address - Street 1:1106 NORTH HWY 360
Mailing Address - Street 2:STE 202
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050
Mailing Address - Country:US
Mailing Address - Phone:972-352-5100
Mailing Address - Fax:972-353-5107
Practice Address - Street 1:1106 NORTH HWY 360
Practice Address - Street 2:STE 202
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050
Practice Address - Country:US
Practice Address - Phone:972-352-5100
Practice Address - Fax:972-353-5107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies