Provider Demographics
NPI:1376730952
Name:EMV MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:EMV MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:J
Authorized Official - Last Name:NWOKOCHA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM'D
Authorized Official - Phone:832-687-8256
Mailing Address - Street 1:9896 BISSONNET ST STE 102
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8151
Mailing Address - Country:US
Mailing Address - Phone:713-800-0715
Mailing Address - Fax:
Practice Address - Street 1:9896 BISSONNET ST STE 102
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8151
Practice Address - Country:US
Practice Address - Phone:713-800-0715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-27
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0094753332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies