# CHRISCILLIA MEDICAL SUPPLY INCORPORATED

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

## Provider details

- **NPI number:** 1760651897
- **Authorized official:** PRISCILLIA MADUEKE (CEO)
- **Authorized official phone:** (713) 664-1673

## Contact information

- **Practice address:** 6006 BELLAIRE BLVD STE 216, HOUSTON, TX 77081-5439
- **Practice address phone:** (713) 664-1673
- **Practice address fax:** (713) 664-1674
- **Mailing address:** 6006 BELLAIRE BLVD STE 216, HOUSTON, TX 77081-5439
- **Mailing address phone:** (713) 664-1673
- **Mailing address fax:** (713) 664-1674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0088192 | TX | Yes |

## Other

- **Enumeration date:** 02/22/2008
- **Last updated:** 12/04/2008