Provider Demographics
NPI:1255511911
Name:HOPE-G MEDICAL SUPPLY, INC
Entity type:Organization
Organization Name:HOPE-G MEDICAL SUPPLY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSADEBAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-499-0044
Mailing Address - Street 1:2430 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-5522
Mailing Address - Country:US
Mailing Address - Phone:281-499-0044
Mailing Address - Fax:713-634-2628
Practice Address - Street 1:2430 S MAIN ST
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-5522
Practice Address - Country:US
Practice Address - Phone:281-499-0044
Practice Address - Fax:713-634-2628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-11
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6081690001Medicare NSC