Provider Demographics
NPI:1073666145
Name:ARMOR MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:ARMOR MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GODWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ENYONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-565-1885
Mailing Address - Street 1:4173 BLUEBONNET DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3909
Mailing Address - Country:US
Mailing Address - Phone:281-565-1885
Mailing Address - Fax:281-565-1886
Practice Address - Street 1:4173 BLUEBONNET DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3909
Practice Address - Country:US
Practice Address - Phone:281-565-1885
Practice Address - Fax:281-565-1886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4559570001Medicare NSC