Provider Demographics
NPI:1972112258
Name:A-ONE MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:A-ONE MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DAPHNE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-890-8555
Mailing Address - Street 1:17119 RED OAK DR UNIT 73223
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77273-4412
Mailing Address - Country:US
Mailing Address - Phone:832-890-8555
Mailing Address - Fax:281-919-1378
Practice Address - Street 1:4201 CYPRESS CREEK PKWY STE 165
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3457
Practice Address - Country:US
Practice Address - Phone:832-890-8555
Practice Address - Fax:281-919-1128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies