Provider Demographics
NPI:1568655330
Name:HARRIET D SPIKES
Entity Type:Organization
Organization Name:HARRIET D SPIKES
Other - Org Name:MEMORIAL MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE BUSINESS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HARRIET
Authorized Official - Middle Name:D
Authorized Official - Last Name:SPIKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-920-2700
Mailing Address - Street 1:11999 KATY FWY
Mailing Address - Street 2:SUITE 393
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1611
Mailing Address - Country:US
Mailing Address - Phone:281-920-2700
Mailing Address - Fax:
Practice Address - Street 1:11999 KATY FWY
Practice Address - Street 2:SUITE 393
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1611
Practice Address - Country:US
Practice Address - Phone:281-920-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEMORIAL MEDICAL SUPPLIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-24
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies