# SWIFT STAR MEDICAL SUPPLY & REPAIR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Swift Wheels
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649670019
- **Authorized official:** SAMUEL UMOH (MANAGER)
- **Authorized official phone:** (832) 971-8965

## Contact information

- **Practice address:** 9850 HARWIN DR, HOUSTON, TX 77036-1608
- **Practice address phone:** (877) 419-4114
- **Practice address fax:** (877) 640-8504
- **Mailing address:** 9850 HARWIN DR, HOUSTON, TX 77036-1608
- **Mailing address phone:** (877) 419-4114
- **Mailing address fax:** (877) 640-8504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | TX | Yes |
| 332BC3200X | Customized Equipment (DME) | — | TX | — |

## Other

- **Enumeration date:** 09/03/2014
- **Last updated:** 09/03/2014