Provider Demographics
NPI:1043677388
Name:MEDICAL SUPPLY & DEVICE LLC
Entity Type:Organization
Organization Name:MEDICAL SUPPLY & DEVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-223-1777
Mailing Address - Street 1:PO BOX 8489
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77387-8489
Mailing Address - Country:US
Mailing Address - Phone:713-223-1777
Mailing Address - Fax:
Practice Address - Street 1:22820 INTERSTATE 45 N
Practice Address - Street 2:BLDG 2-H
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-8206
Practice Address - Country:US
Practice Address - Phone:713-223-1777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-18
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1001695332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies