Provider Demographics
NPI:1437893807
Name:RELIANCE HL MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:RELIANCE HL MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-692-8570
Mailing Address - Street 1:18333 EGRET BAY BLVD STE 614
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3298
Mailing Address - Country:US
Mailing Address - Phone:979-286-2042
Mailing Address - Fax:281-971-9051
Practice Address - Street 1:18333 EGRET BAY BLVD STE 614
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3298
Practice Address - Country:US
Practice Address - Phone:979-286-2042
Practice Address - Fax:281-971-9051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies