Provider Demographics
NPI:1801177712
Name:ALL AMERICAN MEDICAL SUPPLY, LLC
Entity type:Organization
Organization Name:ALL AMERICAN MEDICAL SUPPLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:K
Authorized Official - Last Name:UPADHYAYA
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:281-207-5338
Mailing Address - Street 1:9888 BISSONNET ST STE 515
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-1882
Mailing Address - Country:US
Mailing Address - Phone:281-207-5338
Mailing Address - Fax:281-207-5339
Practice Address - Street 1:9888 BISSONNET ST STE 515
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8247
Practice Address - Country:US
Practice Address - Phone:281-207-5338
Practice Address - Fax:281-207-5339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-06
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0074527332B00000X
335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3054587-01Medicaid
TX3054587-02Medicaid
TX3054587-01Medicaid