Provider Demographics
NPI:1982638938
Name:ONWARD MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:ONWARD MEDICAL SUPPLIES
Other - Org Name:NA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:N
Authorized Official - Last Name:VINITSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-980-1996
Mailing Address - Street 1:106 BAY VIEW DR STE A
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4743
Mailing Address - Country:US
Mailing Address - Phone:281-980-1996
Mailing Address - Fax:281-980-1967
Practice Address - Street 1:106 BAY VIEW DR STE A
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4743
Practice Address - Country:US
Practice Address - Phone:281-980-1996
Practice Address - Fax:281-980-1967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0064138332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH253-2094Medicaid
TX1561128-01-02Medicaid
LA1470899Medicaid
LA1470899Medicaid