Provider Demographics
NPI:1942231816
Name:ACE MEDICAL SUPPLY, INC
Entity Type:Organization
Organization Name:ACE MEDICAL SUPPLY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUNDAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEBISI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-779-4300
Mailing Address - Street 1:9894 BISSONNET ST STE 555
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8443
Mailing Address - Country:US
Mailing Address - Phone:713-779-4300
Mailing Address - Fax:713-779-4380
Practice Address - Street 1:9894 BISSONNET ST STE 555
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8443
Practice Address - Country:US
Practice Address - Phone:713-779-4300
Practice Address - Fax:713-779-4380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTXD14066332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4965050001Medicare NSC