Provider Demographics
NPI:1407084361
Name:CALVARYCAREGROUP INC
Entity Type:Organization
Organization Name:CALVARYCAREGROUP INC
Other - Org Name:MEDICAL EQUIPMENT SUPPLY 2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLUBUNMI
Authorized Official - Middle Name:O
Authorized Official - Last Name:ADENIRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-777-3174
Mailing Address - Street 1:8901FM 1960 BYPASS RD
Mailing Address - Street 2:#103
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338
Mailing Address - Country:US
Mailing Address - Phone:713-885-7000
Mailing Address - Fax:713-777-9795
Practice Address - Street 1:8901 FM 1960 BYPASS RD
Practice Address - Street 2:#103
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338
Practice Address - Country:US
Practice Address - Phone:713-885-7000
Practice Address - Fax:713-777-9795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies