# MEDICAL DEPOT, INC

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

## Provider details

- **NPI number:** 1669611372
- **Authorized official:** LEAH LORANE KENNEDY (OWNER)
- **Authorized official phone:** (713) 440-6017

## Contact information

- **Practice address:** 7311 ARDMORE ST, BLDG A & B, HOUSTON, TX 77054-4205
- **Practice address phone:** (713) 440-6017
- **Practice address fax:** (713) 747-9076
- **Mailing address:** 7311 ARDMORE ST, BLDG A & B, HOUSTON, TX 77054-4205
- **Mailing address phone:** (713) 440-6017
- **Mailing address fax:** (713) 747-9076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BC3200X | Customized Equipment (DME) | 0104583 | TX | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 0104583 | TX | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 0104583 | TX | Yes |

## Other

- **Enumeration date:** 02/19/2009
- **Last updated:** 02/19/2009