Provider Demographics
NPI:1821203324
Name:HOUSTON PREMIER DME INC
Entity Type:Organization
Organization Name:HOUSTON PREMIER DME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ATILANO
Authorized Official - Middle Name:
Authorized Official - Last Name:SERNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-477-4200
Mailing Address - Street 1:817 E. SOUTHMORE AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77502-1130
Mailing Address - Country:US
Mailing Address - Phone:713-477-4200
Mailing Address - Fax:713-477-4204
Practice Address - Street 1:817 E. SOUTHMORE AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-1130
Practice Address - Country:US
Practice Address - Phone:713-477-4200
Practice Address - Fax:713-477-4204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4570740002Medicare NSC