Provider Demographics
NPI:1972827350
Name:AVERY MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:AVERY MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:AVERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-831-7133
Mailing Address - Street 1:3703 PIN OAK CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-7018
Mailing Address - Country:US
Mailing Address - Phone:281-831-7133
Mailing Address - Fax:281-281-9729
Practice Address - Street 1:3703 PIN OAK CT
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-7018
Practice Address - Country:US
Practice Address - Phone:281-831-7133
Practice Address - Fax:281-281-9729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment