Provider Demographics
NPI:1851451801
Name:HEALTH ENHANCEMENT MEDICAL SUPPLY SERVICES
Entity Type:Organization
Organization Name:HEALTH ENHANCEMENT MEDICAL SUPPLY SERVICES
Other - Org Name:FESTUS C. OKERE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FESTUS
Authorized Official - Middle Name:CHIAKA
Authorized Official - Last Name:OKERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-776-2220
Mailing Address - Street 1:10101 FONDREN RD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4564
Mailing Address - Country:US
Mailing Address - Phone:713-776-2220
Mailing Address - Fax:713-776-2228
Practice Address - Street 1:10101 FONDREN RD
Practice Address - Street 2:SUITE 111
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-4564
Practice Address - Country:US
Practice Address - Phone:713-776-2220
Practice Address - Fax:713-776-2228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0079096332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5358850001Medicare ID - Type UnspecifiedPROVIDERS NUMBER