Provider Demographics
NPI:1902000649
Name:MEDSOL DME
Entity Type:Organization
Organization Name:MEDSOL DME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MANDANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GHOLAMHOSSEINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-272-4500
Mailing Address - Street 1:8705 VARNER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-6907
Mailing Address - Country:US
Mailing Address - Phone:713-271-4500
Mailing Address - Fax:713-271-4507
Practice Address - Street 1:8705 VARNER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-6907
Practice Address - Country:US
Practice Address - Phone:713-271-4500
Practice Address - Fax:713-271-4507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies