Provider Demographics
NPI:1568656890
Name:HERMANN MEDICAL SUPPLIES II, INC.
Entity Type:Organization
Organization Name:HERMANN MEDICAL SUPPLIES II, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-392-1114
Mailing Address - Street 1:1314 FM 1960 ROAD WEST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3809
Mailing Address - Country:US
Mailing Address - Phone:281-580-1992
Mailing Address - Fax:281-580-1943
Practice Address - Street 1:1314 FM 1960 ROAD WEST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3809
Practice Address - Country:US
Practice Address - Phone:281-580-1992
Practice Address - Fax:281-580-1943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32033747950332B00000X
TX13420298252332BC3200X
335E00000X
TX335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6146450001Medicare NSC