# HOMEDEQ

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

## Provider details

- **NPI number:** 1760573091
- **Authorized official:** ALEXANDER RODGER KENNEDY (PRESIDENT)
- **Authorized official phone:** (713) 748-6225

## Contact information

- **Practice address:** 107 W WAY ST, SUITE 15, LAKE JACKSON, TX 77566-5219
- **Practice address phone:** (979) 297-3603
- **Practice address fax:** (979) 297-3693
- **Mailing address:** PO BOX 25242, HOUSTON, TX 77265-5242
- **Mailing address phone:** (713) 748-6225
- **Mailing address fax:** (713) 747-9076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 00559252 | TX | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 08/22/2020