Provider Demographics
NPI:1619231412
Name:MEDICAL PLUS SUPPLIES INC
Entity Type:Organization
Organization Name:MEDICAL PLUS SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ESTEBAN
Authorized Official - Middle Name:V
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:713-440-6700
Mailing Address - Street 1:PO BOX 84110
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-0018
Mailing Address - Country:US
Mailing Address - Phone:713-440-6700
Mailing Address - Fax:866-867-7395
Practice Address - Street 1:109 RHODES ST
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-4425
Practice Address - Country:US
Practice Address - Phone:800-298-3948
Practice Address - Fax:866-867-7395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-27
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0033221332B00000X
TX1000713332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX218050702Medicaid
TX16097001Medicaid
1619231412OtherNPI
TX337174202Medicaid
TX337174202Medicaid
TX1386800423Medicaid
TX218050702Medicaid