SOUTHERN MEDIC DURABLE EQUIPMENT NPI 1558539684

NPI Information

NPI: 1558539684
Provider Name: SOUTHERN MEDIC DURABLE EQUIPMENT
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
10101 HARWIN DR
STE. 369
HOUSTON, TX
ZIP 77036
Phone: (713) 271-3884
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SOUTHERN MEDIC DURABLE EQUIPMENT is a parenteral and enteral nutrition durable medical equipment medical supplies in Houston, TX. SOUTHERN MEDIC DURABLE EQUIPMENT NPI is 1558539684. The provider is registered as an organization entity type.

The provider's business location address is:

10101 HARWIN DR
STE. 369
HOUSTON, TX
ZIP 77036-687
Phone: (713) 271-3884
Fax: (832) 252-1925

The provider's authorized official is Deandria Merrlen Wood .
The authorized official title is Owner and has the following contact phone number (713) 271-3884.

The enumeration date for this NPI number is 2/11/2008 and was last updated on 10/28/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	102259	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6068150001	MEDICARE NSC	TEXAS
2	532812	OTHER	TEXAS	BCBS OF TX
3	194441502	MEDICAID	TEXAS

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

NPI Synchronization or Removal

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