Provider Demographics
NPI:1780656934
Name:SOUTH WEST MEDICAL SUPPORT SRVICES LLC
Entity Type:Organization
Organization Name:SOUTH WEST MEDICAL SUPPORT SRVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:MONROE
Authorized Official - Last Name:LOWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-469-5090
Mailing Address - Street 1:9110 TAUB RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-6600
Mailing Address - Country:US
Mailing Address - Phone:281-469-5090
Mailing Address - Fax:281-469-2302
Practice Address - Street 1:9110 TAUB RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-6600
Practice Address - Country:US
Practice Address - Phone:281-469-5090
Practice Address - Fax:281-469-2302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies