Provider Demographics
NPI:1861668535
Name:UZZIE MEDICAL SUPPLY,LLC
Entity Type:Organization
Organization Name:UZZIE MEDICAL SUPPLY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:MUKETE
Authorized Official - Last Name:DIOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-278-1603
Mailing Address - Street 1:6250 WESTPARK DR
Mailing Address - Street 2:STE 135
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7381
Mailing Address - Country:US
Mailing Address - Phone:713-278-1603
Mailing Address - Fax:713-278-1674
Practice Address - Street 1:6250 WESTPARK DR
Practice Address - Street 2:STE 135
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7381
Practice Address - Country:US
Practice Address - Phone:713-278-1603
Practice Address - Fax:713-278-1674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0099919275N00000X, 332B00000X, 332BC3200X, 332BD1200X, 332BN1400X, 332S00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332S00000XSuppliersHearing Aid Equipment
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6039720001Medicare NSC