Provider Demographics
NPI:1548413222
Name:OLREANS MEDICAL SUPPLY & SERVICES
Entity Type:Organization
Organization Name:OLREANS MEDICAL SUPPLY & SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRICKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-884-0459
Mailing Address - Street 1:11710 SOUTHLAKE DR
Mailing Address - Street 2:UNIT 13
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6750
Mailing Address - Country:US
Mailing Address - Phone:504-884-0459
Mailing Address - Fax:866-313-3039
Practice Address - Street 1:11710 SOUTHLAKE DR
Practice Address - Street 2:UNIT 13
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6750
Practice Address - Country:US
Practice Address - Phone:504-884-0459
Practice Address - Fax:866-313-3039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies