Provider Demographics
NPI:1053440966
Name:A&E MEDICAL
Entity Type:Organization
Organization Name:A&E MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:A
Authorized Official - Last Name:THIRY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:713-530-2312
Mailing Address - Street 1:2123 FM 1960 RD W
Mailing Address - Street 2:#273
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3103
Mailing Address - Country:US
Mailing Address - Phone:713-530-2312
Mailing Address - Fax:
Practice Address - Street 1:2123 FM 1960 RD W
Practice Address - Street 2:#273
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3103
Practice Address - Country:US
Practice Address - Phone:713-530-2312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies