Provider Demographics
NPI:1801143060
Name:AMERICAN MEDICAL SUPPLY
Entity type:Organization
Organization Name:AMERICAN MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:N
Authorized Official - Last Name:SAMSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:MSC
Authorized Official - Phone:832-286-5900
Mailing Address - Street 1:3936 OLD SPANISH TRL
Mailing Address - Street 2:SUITE C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-1425
Mailing Address - Country:US
Mailing Address - Phone:832-286-5900
Mailing Address - Fax:713-527-0079
Practice Address - Street 1:3936 OLD SPANISH TRL
Practice Address - Street 2:SUITE C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-1425
Practice Address - Country:US
Practice Address - Phone:832-286-5900
Practice Address - Fax:713-527-0079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-07
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies