Provider Demographics
NPI:1396012886
Name:MULTI MEDICAL EQUIPMENT AND SUPPLIES, LLC
Entity Type:Organization
Organization Name:MULTI MEDICAL EQUIPMENT AND SUPPLIES, 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:281-265-3516
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 1:15229 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3872
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, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-28
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies