Provider Demographics
NPI:1659095164
Name:ESSENCE MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:ESSENCE MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYIRIOHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-235-6081
Mailing Address - Street 1:10101 HARWIN DR STE 190K
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-1611
Mailing Address - Country:US
Mailing Address - Phone:346-235-6081
Mailing Address - Fax:
Practice Address - Street 1:10101 HARWIN DR STE 190K
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-1611
Practice Address - Country:US
Practice Address - Phone:346-235-6081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies