Provider Demographics
NPI:1013144062
Name:BAYLAND MEDICAL PLUS SUPPLY
Entity type:Organization
Organization Name:BAYLAND MEDICAL PLUS SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:GOVERN
Authorized Official - Last Name:ALIKPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-784-7600
Mailing Address - Street 1:6630 HARWIN DR
Mailing Address - Street 2:112
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2245
Mailing Address - Country:US
Mailing Address - Phone:713-784-7600
Mailing Address - Fax:713-786-7603
Practice Address - Street 1:6630 HARWIN DR
Practice Address - Street 2:112
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2245
Practice Address - Country:US
Practice Address - Phone:713-784-7600
Practice Address - Fax:713-784-7603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies