Provider Demographics
NPI:1851452742
Name:REGISTERED MEDICAL SUPPLY,INC
Entity Type:Organization
Organization Name:REGISTERED MEDICAL SUPPLY,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BAMIDELE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOKODOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-270-5554
Mailing Address - Street 1:11149 FONDREN RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-5505
Mailing Address - Country:US
Mailing Address - Phone:713-270-5554
Mailing Address - Fax:713-270-5559
Practice Address - Street 1:11149 FONDREN RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-5505
Practice Address - Country:US
Practice Address - Phone:713-270-5554
Practice Address - Fax:713-270-5559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5629080001Medicare ID - Type Unspecified