Provider Demographics
NPI:1891798559
Name:OPTIONS HEALTHCARE & MEDICAL SUPPLIES, INC
Entity Type:Organization
Organization Name:OPTIONS HEALTHCARE & MEDICAL SUPPLIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:NNAMDI
Authorized Official - Last Name:NWOKEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-577-5111
Mailing Address - Street 1:23650 VILLAGE DR
Mailing Address - Street 2:UNIT 17
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365-4680
Mailing Address - Country:US
Mailing Address - Phone:281-577-5111
Mailing Address - Fax:281-499-8058
Practice Address - Street 1:23650 VILLAGE DR
Practice Address - Street 2:UNIT 17
Practice Address - City:PORTER
Practice Address - State:TX
Practice Address - Zip Code:77365-4680
Practice Address - Country:US
Practice Address - Phone:281-577-5111
Practice Address - Fax:281-499-8058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0068801332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1621781Medicaid
TX16597103Medicaid
TX4875890001Medicare ID - Type UnspecifiedPROVIDER NUMBER