Provider Demographics
NPI:1407050115
Name:HYPOLITE, ERON E
Entity Type:Individual
Prefix:
First Name:ERON
Middle Name:E
Last Name:HYPOLITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6113 FAIRCHILD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77028-4441
Mailing Address - Country:US
Mailing Address - Phone:713-893-6253
Mailing Address - Fax:832-519-1514
Practice Address - Street 1:6113 FAIRCHILD ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77028-4441
Practice Address - Country:US
Practice Address - Phone:713-893-6253
Practice Address - Fax:832-519-1514
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies