Provider Demographics
NPI:1922213099
Name:MONITOR MEDICAL, INC
Entity Type:Organization
Organization Name:MONITOR MEDICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:RRT,RCP
Authorized Official - Phone:281-240-7222
Mailing Address - Street 1:12999 JESS PIRTLE BLVD
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2851
Mailing Address - Country:US
Mailing Address - Phone:281-240-2222
Mailing Address - Fax:281-240-1164
Practice Address - Street 1:9731 WORTHAM BLVD
Practice Address - Street 2:#102
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065
Practice Address - Country:US
Practice Address - Phone:281-970-5550
Practice Address - Fax:281-240-2383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2022-12-28
Deactivation Date:2022-12-20
Deactivation Code:
Reactivation Date:2022-12-28
Provider Licenses
StateLicense IDTaxonomies
TX0083804332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1958241-02Medicaid
TX1958241-02Medicaid