Provider Demographics
NPI:1417054453
Name:CN MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:CN MEDICAL EQUIPMENT, INC.
Other - Org Name:CN MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GODWIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:UGWUANYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-995-6232
Mailing Address - Street 1:10200 W AIRPORT BLVD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3336
Mailing Address - Country:US
Mailing Address - Phone:713-995-6232
Mailing Address - Fax:713-995-6234
Practice Address - Street 1:10200 W AIRPORT BLVD
Practice Address - Street 2:SUITE 170
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3336
Practice Address - Country:US
Practice Address - Phone:713-995-6232
Practice Address - Fax:713-995-6234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0075332332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5197340001Medicare NSC