Provider Demographics
NPI:1982897666
Name:BURTON & WHITE MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:BURTON & WHITE MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLYDELL
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:954-790-1748
Mailing Address - Street 1:525 N SAM HOUSTON PKWY E
Mailing Address - Street 2:SUITE # 560
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-4037
Mailing Address - Country:US
Mailing Address - Phone:832-687-6316
Mailing Address - Fax:
Practice Address - Street 1:525 N SAM HOUSTON PKWY E
Practice Address - Street 2:SUITE # 560
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-4037
Practice Address - Country:US
Practice Address - Phone:832-687-6316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-25
Last Update Date:2007-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies