Provider Demographics
NPI:1366492811
Name:PRECISION HEALTHCARE, INC
Entity Type:Organization
Organization Name:PRECISION HEALTHCARE, INC
Other - Org Name:RED OAK UNIFORMS & MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RIAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:POONAWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-586-9509
Mailing Address - Street 1:850 FM 1960 RD W
Mailing Address - Street 2:SUITE S
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3418
Mailing Address - Country:US
Mailing Address - Phone:281-586-9509
Mailing Address - Fax:281-586-9607
Practice Address - Street 1:850 FM 1960 RD W
Practice Address - Street 2:SUITE S
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3418
Practice Address - Country:US
Practice Address - Phone:281-586-9509
Practice Address - Fax:281-586-9607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0042594332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1308030001Medicare NSC