Provider Demographics
NPI:1033755897
Name:GRATZ DURABLE MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:GRATZ DURABLE MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EZE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-410-0512
Mailing Address - Street 1:11530 SLICK ROCK DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1470
Mailing Address - Country:US
Mailing Address - Phone:508-410-0512
Mailing Address - Fax:281-783-6558
Practice Address - Street 1:7100 REGENCY SQUARE BLVD STE 252
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3186
Practice Address - Country:US
Practice Address - Phone:508-410-0512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-26
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000OtherNO NUMBER AVAILABLE AT THIS TIME