# FAYETTE MEDICAL

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

## Provider details

- **NPI number:** 1588859573
- **Authorized official:** MR. BELEMA ALEX AMACHREE (CEO)
- **Authorized official phone:** (832) 877-2116

## Contact information

- **Practice address:** 1513 FANNIN ST, SUITE C, COLUMBUS, TX 78934-2515
- **Practice address phone:** (832) 877-2116
- **Practice address fax:** (281) 530-4337
- **Mailing address:** 1513 FANNIN ST, SUITE C, COLUMBUS, TX 78934-2515
- **Mailing address phone:** (832) 877-2116
- **Mailing address fax:** (281) 530-4337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0097214 | TX | Yes |

## Other

- **Enumeration date:** 09/12/2007
- **Last updated:** 09/12/2007