Provider Demographics
NPI:1073364154
Name:HOUSTON TRADERS LLC
Entity Type:Organization
Organization Name:HOUSTON TRADERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHEIKH
Authorized Official - Middle Name:WAHEED
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-929-8211
Mailing Address - Street 1:543 BARRINGER LN APT D
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-6145
Mailing Address - Country:US
Mailing Address - Phone:832-929-8211
Mailing Address - Fax:
Practice Address - Street 1:543 BARRINGER LN APT D
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-6145
Practice Address - Country:US
Practice Address - Phone:832-929-8211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies