# M.D. WAREHOUSE, INC.

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

## Provider details

- **NPI number:** 1710036660
- **Authorized official:** KELSEY GLYNN SHULTS B.A. (ADMINISTRATOR)
- **Authorized official phone:** (281) 507-2156

## Contact information

- **Practice address:** 4899 MONTROSE BLVD APT 1903, HOUSTON, TX 77006-6172
- **Practice address phone:** (281) 507-2156
- **Practice address fax:** (512) 899-2910
- **Mailing address:** PO BOX 161535, AUSTIN, TX 78716-1535
- **Mailing address phone:** (281) 507-2156
- **Mailing address fax:** (512) 899-2910

## Taxonomy

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

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 08/22/2020