Provider Demographics
NPI:1336145259
Name:SINEX MEDICAL SUPPLY
Entity Type:Organization
Organization Name:SINEX MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KANKAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-426-4700
Mailing Address - Street 1:1714 W 18TH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1276
Mailing Address - Country:US
Mailing Address - Phone:713-426-4700
Mailing Address - Fax:713-426-4701
Practice Address - Street 1:1714 W 18TH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1276
Practice Address - Country:US
Practice Address - Phone:713-426-4700
Practice Address - Fax:713-426-4701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0070369332B00000X, 332BP3500X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX531681OtherDURABLE MEDICAL EQUIPMENT
TX5094720001Medicare ID - Type UnspecifiedDURABLE MEDICAL EQUIPMENT