Provider Demographics
NPI:1093238081
Name:MEDY CORPORATION
Entity Type:Organization
Organization Name:MEDY CORPORATION
Other - Org Name:GREATER HOUSTON MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:MEDINA
Authorized Official - Last Name:YAP
Authorized Official - Suffix:
Authorized Official - Credentials:PT MBA DPT
Authorized Official - Phone:832-521-5797
Mailing Address - Street 1:33420 LAGO VISTA REAL ST
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77354-2436
Mailing Address - Country:US
Mailing Address - Phone:832-521-5797
Mailing Address - Fax:936-273-8885
Practice Address - Street 1:33420 LAGO VISTA REAL ST
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77354-2436
Practice Address - Country:US
Practice Address - Phone:832-521-5797
Practice Address - Fax:936-273-8885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies