Provider Demographics
NPI:1700070877
Name:TEX STIM MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:TEX STIM MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KEY
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:832-818-5352
Mailing Address - Street 1:PO BOX 5123
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77325-5123
Mailing Address - Country:US
Mailing Address - Phone:832-818-5352
Mailing Address - Fax:
Practice Address - Street 1:507 ATASCOCITA RD
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-3610
Practice Address - Country:US
Practice Address - Phone:832-818-5352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0092153332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment