Provider Demographics
NPI:1326682279
Name:ARANSAS MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:ARANSAS MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIDGEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-659-6446
Mailing Address - Street 1:PO BOX 837
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:TX
Mailing Address - Zip Code:78381-0837
Mailing Address - Country:US
Mailing Address - Phone:361-239-5739
Mailing Address - Fax:361-288-1175
Practice Address - Street 1:1521 W MARKET ST STE E
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:TX
Practice Address - Zip Code:78382-6221
Practice Address - Country:US
Practice Address - Phone:362-239-5739
Practice Address - Fax:361-288-1175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-04
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies