Provider Demographics
NPI:1639137623
Name:EPIPHANY MEDICAL AND RESPIRATORY INC
Entity Type:Organization
Organization Name:EPIPHANY MEDICAL AND RESPIRATORY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-216-0397
Mailing Address - Street 1:3045 MORRIS ST
Mailing Address - Street 2:SUITE #B006
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7032
Mailing Address - Country:US
Mailing Address - Phone:713-436-3838
Mailing Address - Fax:713-436-3892
Practice Address - Street 1:3045 MORRIS ST
Practice Address - Street 2:SUITE #B006
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7032
Practice Address - Country:US
Practice Address - Phone:713-436-3838
Practice Address - Fax:713-436-3892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0088809332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies