# BY THE GRACE MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1649203704
- **Authorized official:** FRANCIS J IBIOK (MANAGER)
- **Authorized official phone:** (713) 270-0083

## Contact information

- **Practice address:** 8633 W AIRPORT BLVD, 1008, HOUSTON, TX 77071-2479
- **Practice address phone:** (713) 270-0083
- **Practice address fax:** (713) 270-0530
- **Mailing address:** 8633 W AIRPORT BLVD, 1008, HOUSTON, TX 77071-2479
- **Mailing address phone:** (713) 270-0083
- **Mailing address fax:** (713) 270-0530

## Taxonomy

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

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 08/22/2020