Provider Demographics
NPI:1043367014
Name:AT YOUR SERVICE MED.EQ.&SUPPLIES
Entity Type:Organization
Organization Name:AT YOUR SERVICE MED.EQ.&SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:GHAZANFER
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-857-2289
Mailing Address - Street 1:6201 BONHOMME RD
Mailing Address - Street 2:SUITE#290N-O
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4365
Mailing Address - Country:US
Mailing Address - Phone:713-244-0700
Mailing Address - Fax:713-244-0700
Practice Address - Street 1:6201 BONHOMME RD
Practice Address - Street 2:SUITE#290N-O
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4365
Practice Address - Country:US
Practice Address - Phone:713-244-0700
Practice Address - Fax:713-244-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5944460001Medicare NSC