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Organization

SERAPHIM MEDICAL SUPPLIES

Active
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Organization

SERAPHIM MEDICAL SUPPLIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE SOTO CNIM (CEO)
(281) 691-3427
Entity
Organization

Contact information

Practice address
10330 LAKE ROAD SUITE E, HOUSTON, TX 77070
(281) 691-3427
Mailing address
10330 LAKE RD STE E, HOUSTON, TX 77070-1696

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
NULL
156F00000X
Technician/Technologist
—
—
2472E0500X
EEG Technician
—
NULL
2472E0500X
EEG Technician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL

Other

Enumeration date
06/21/2017
Last updated
06/21/2017
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