Provider Demographics
NPI:1407863814
Name:TRUCARE MEDICAL EQUIPMENT SERVICES
Entity Type:Organization
Organization Name:TRUCARE MEDICAL EQUIPMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:JHAGROO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-540-6171
Mailing Address - Street 1:9338 HUMBLE WESTFIELD ROAD
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338
Mailing Address - Country:US
Mailing Address - Phone:281-540-6171
Mailing Address - Fax:281-540-4278
Practice Address - Street 1:9338 HUMBLE WESTFIELD ROAD
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338
Practice Address - Country:US
Practice Address - Phone:281-540-6171
Practice Address - Fax:281-540-4278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0068856332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163302602Medicaid
TX163302601Medicaid
TX163302602Medicaid