Provider Demographics
NPI:1700119278
Name:HELP DOMESTIC MEDICAL SUPPLY
Entity Type:Organization
Organization Name:HELP DOMESTIC MEDICAL SUPPLY
Other - Org Name:HELP DOMESTIC AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:FLORES
Authorized Official - Last Name:GARDUNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-541-2124
Mailing Address - Street 1:6300 HILLCROFT ST STE 519
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-3009
Mailing Address - Country:US
Mailing Address - Phone:713-541-2124
Mailing Address - Fax:
Practice Address - Street 1:6300 HILLCROFT ST STE 519
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-3009
Practice Address - Country:US
Practice Address - Phone:713-541-2124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HELP DOMESTIC AGENCY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies