CROWN SCRUBS & MED SUPPLY - NPI NUMBER 1669614681

Summary

Provider Name: CROWN SCRUBS & MED SUPPLY

NPI Number: 1669614681

Clasification: Durable Medical Equipment & Medical Supplies (332B00000X)

Address:
2376 S DAIRY ASHFORD ST
HOUSTON, TX
ZIP 77077

Phone Number: (281) 293-8633



Detailed Information

CROWN SCRUBS & MED 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. The assigned NPI number for this provider is 1669614681 and is registered as an organization entity type.

The provider's business address is:

2376 S DAIRY ASHFORD ST
HOUSTON, TX
ZIP 77077-718
Phone: (281) 293-8633
Fax: (281) 293-8633

The provider's authorized official is Barkat Ali .
The authorized official title is President and has the following contact phone number (281) 293-8633.

The enumeration date for this NPI number is 4/6/2009 and was last updated on 4/6/2009.

Map - Location of Practice

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Taxonomy Codes

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 332B00000X Durable Medical Equipment & Medical Supplies 0109819 TX Yes

NPI Record

No. Field Name Field Value
1 NPI 1669614681
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name CROWN SCRUBS & MED SUPPLY
5 Provider First Line Business Practice Location Address 2376 S DAIRY ASHFORD ST
6 Provider Business Practice Location Address City Name HOUSTON
7 Provider Business Practice Location Address State Name TX
8 Provider Business Practice Location Address Postal Code 770775718
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 2812938633
11 Provider Business Practice Location Address Fax Number 2812938633
12 Provider Enumeration Date 4/6/2009
13 Last Update Date 4/6/2009
14 Authorized Official Last Name ALI
15 Authorized Official First Name BARKAT
16 Authorized Official Title or Position PRESIDENT
17 Authorized Official Telephone Number 2812938633
18 Healthcare Provider Taxonomy Code 1 332B00000X
19 Provider License Number 1 0109819
20 Provider License Number State Code 1 TX
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Organization Subpart N

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This page was last updated on: 7/15/2014
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