# ELIXIR SUPPLY & SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336379221
- **Authorized official:** MR. SUNNY ODEY IDIKU (PRESIDENT)
- **Authorized official phone:** (713) 988-8989

## Contact information

- **Practice address:** 9894 BISSONNET ST, STE. 100-0, HOUSTON, TX 77036-8239
- **Practice address phone:** (713) 988-8989
- **Practice address fax:** (713) 988-8989
- **Mailing address:** 9894 BISSONNET ST, SUITE 100-0, HOUSTON, TX 77036-8239
- **Mailing address phone:** (713) 988-8989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1000086 | TX | Yes |

## Other

- **Enumeration date:** 07/25/2009
- **Last updated:** 08/30/2010