Provider Demographics
NPI:1518230283
Name:HOUSTON MEDICAL SUPPLIES, LLC
Entity Type:Organization
Organization Name:HOUSTON MEDICAL SUPPLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HUAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-777-2244
Mailing Address - Street 1:9029 WESTHEIMER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3603
Mailing Address - Country:US
Mailing Address - Phone:713-777-2244
Mailing Address - Fax:866-761-5504
Practice Address - Street 1:9029 WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3603
Practice Address - Country:US
Practice Address - Phone:713-777-2244
Practice Address - Fax:866-761-5504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000334332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies