Provider Demographics
NPI:1164089496
Name:ENTRAMED, INC
Entity Type:Organization
Organization Name:ENTRAMED, INC
Other - Org Name:SENTIDO HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRABB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-955-2123
Mailing Address - Street 1:27905 COMMERCIAL PARK RD STE 240
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-6580
Mailing Address - Country:US
Mailing Address - Phone:713-955-2123
Mailing Address - Fax:
Practice Address - Street 1:27905 COMMERCIAL PARK RD STE 240
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-6580
Practice Address - Country:US
Practice Address - Phone:713-955-2123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENTRAMED, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-22
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies