Provider Demographics
NPI:1821313206
Name:SILVER MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:SILVER MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OPUS
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-914-0777
Mailing Address - Street 1:6430 RICHMOND AVE
Mailing Address - Street 2:SUITE 250-05
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-5917
Mailing Address - Country:US
Mailing Address - Phone:713-914-0777
Mailing Address - Fax:
Practice Address - Street 1:6430 RICHMOND AVE
Practice Address - Street 2:SUITE 250-05
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5917
Practice Address - Country:US
Practice Address - Phone:713-914-0777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies