Provider Demographics
NPI:1275957425
Name:MULTI-MEDICAL EQUIPMENT AND SUPPLIES BELLAIRE, LLC
Entity Type:Organization
Organization Name:MULTI-MEDICAL EQUIPMENT AND SUPPLIES BELLAIRE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BURCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-265-3156
Mailing Address - Street 1:15229 SOUTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3872
Mailing Address - Country:US
Mailing Address - Phone:281-265-3156
Mailing Address - Fax:281-265-3157
Practice Address - Street 1:5313B BELLAIRE BLVD
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3903
Practice Address - Country:US
Practice Address - Phone:281-265-3156
Practice Address - Fax:281-265-3157
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MULTI-MEDICAL EQUIPMENT AND SUPPLIES BELLAIRE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-02-08
Last Update Date:2014-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies