Provider Demographics
NPI:1891886412
Name:H & W MEDICAL SUPPLY, LLC
Entity Type:Organization
Organization Name:H & W MEDICAL SUPPLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HUKPORTIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-953-0313
Mailing Address - Street 1:1118 PERRY ST
Mailing Address - Street 2:SUITE 119
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75060-3223
Mailing Address - Country:US
Mailing Address - Phone:972-953-0313
Mailing Address - Fax:972-953-0312
Practice Address - Street 1:1118 PERRY ST
Practice Address - Street 2:SUITE 119
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75060-3223
Practice Address - Country:US
Practice Address - Phone:972-953-0313
Practice Address - Fax:972-953-0312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0067587332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4794870001Medicare NSC