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MARLON ORLANDO BOQUIN NPI 1053478438


NPI Information

NPI: 1053478438
Provider Name: MARLON ORLANDO BOQUIN

Doing Business As: BOMAR MEDICAL SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
10085 WESTPARK DR
STE A
HOUSTON, TX
ZIP 77042
Phone: (713) 463-5382
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MARLON ORLANDO BOQUIN is a durable medical equipment medical supplies in Houston, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MARLON ORLANDO BOQUIN NPI is 1053478438. The provider is registered as an organization entity type.
The provider Is Doing Business As Bomar Medical Supply.

The provider's business location address is:

10085 WESTPARK DR
STE A
HOUSTON, TX
ZIP 77042-900
Phone: (713) 463-5382
Fax: (713) 463-5496

The provider's authorized official is Marlon Orlando Boquin .
The authorized official title is Owner and has the following contact phone number (713) 463-5382.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 9/22/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies0056491TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1147562601MEDICAIDTEXAS
24260640001MEDICARE NSCTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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