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MEMORIAL MEDICAL SUPPLY NPI 1497828636


NPI Information

NPI: 1497828636
Provider Name: MEMORIAL MEDICAL SUPPLY
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 45D2128748

Address:
1009B DAIRY ASHFORD ST
HOUSTON, TX
ZIP 77079
Phone: (281) 556-6565
Get Directions

MEMORIAL MEDICAL SUPPLY 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. MEMORIAL MEDICAL SUPPLY NPI is 1497828636. The provider is registered as an organization entity type.

The provider's business location address is:

1009B DAIRY ASHFORD ST
HOUSTON, TX
ZIP 77079-602
Phone: (281) 556-6565
Fax: (281) 556-6566

The provider's authorized official is Antonio M. Dotson .
The authorized official title is Office Worker and has the following contact phone number (281) 556-6565.

The CLIA number assigned to this NPI record is 45D2128748 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 7/21/2022.


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 SuppliesTEXASYes

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
1179681501MEDICAIDTEXAS

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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