Provider Demographics
NPI:1598127870
Name:REGENCY DME INC
Entity Type:Organization
Organization Name:REGENCY DME INC
Other - Org Name:REGENCY DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHIMEREMEZE
Authorized Official - Middle Name:
Authorized Official - Last Name:UKOMADU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:713-800-0311
Mailing Address - Street 1:9898 BISSONNET ST
Mailing Address - Street 2:STE 250A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8270
Mailing Address - Country:US
Mailing Address - Phone:713-800-0311
Mailing Address - Fax:713-800-0309
Practice Address - Street 1:9898 BISSONNET ST
Practice Address - Street 2:STE 250A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8270
Practice Address - Country:US
Practice Address - Phone:713-800-0311
Practice Address - Fax:713-800-0309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43343332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies