Provider Demographics
NPI:1669578498
Name:ORION GROUP MEDICAL SUPPLY, INC.
Entity type:Organization
Organization Name:ORION GROUP MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANKIE
Authorized Official - Middle Name:BROWN
Authorized Official - Last Name:BANKSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-358-9191
Mailing Address - Street 1:22250 HIGHWAY 59 N
Mailing Address - Street 2:SUITE 630
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2842
Mailing Address - Country:US
Mailing Address - Phone:281-358-9191
Mailing Address - Fax:281-358-6968
Practice Address - Street 1:22250 HIGHWAY 59 N
Practice Address - Street 2:SUITE 630
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2842
Practice Address - Country:US
Practice Address - Phone:281-358-9191
Practice Address - Fax:281-358-6968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX530753OtherBLUE CROSS/BLUE SHIELD
TX=========OtherHUMANA/TRICARE
TX1318200001Medicare NSC