Provider Demographics
NPI:1982728770
Name:SIMONE BALL
Entity Type:Organization
Organization Name:SIMONE BALL
Other - Org Name:PREFERRED PLUS MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SIMONE
Authorized Official - Middle Name:
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-866-4706
Mailing Address - Street 1:9900 WESTPARK DR
Mailing Address - Street 2:# 277
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5138
Mailing Address - Country:US
Mailing Address - Phone:713-785-4063
Mailing Address - Fax:713-785-4065
Practice Address - Street 1:9900 WESTPARK DR
Practice Address - Street 2:# 277
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5138
Practice Address - Country:US
Practice Address - Phone:713-785-4063
Practice Address - Fax:713-785-4065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-18
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TX0095136332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6107300001Medicare NSC
TX6107300001Medicare NSC