# LAMBORGHINI TECHNOLOGIES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAMBORGHINI TECHNOLOGIES
- **Other names:** MEMORIAL VILLAGE MEDICAL SUPPLY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144492539
- **Legal business name:** LAMBORGHINI TECHNOLOGIES
- **Authorized official:** MR. ALPHONSE MUTSINDASHYAKA ENGINEER (CEO/PRESIDENT)
- **Authorized official phone:** (713) 996-9300

## Contact information

- **Practice address:** 2870 GESSNER RD. SUITE A3, HOUSTON, TX 77080
- **Practice address phone:** (713) 996-9300
- **Practice address fax:** (713) 996-9300
- **Mailing address:** 2870 GESSNER RD. SUITE A3, HOUSTON, TX 77080
- **Mailing address phone:** (713) 996-9300
- **Mailing address fax:** (713) 996-9300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2008
- **Last updated:** 03/26/2008