# ELITE MEDICAL & REHAB SUPPLIES

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

## Provider details

- **NPI number:** 1790734408
- **Authorized official:** GRACIE GBOLIWE CHUKWU (DIRECTOR)
- **Authorized official phone:** (713) 781-9992

## Contact information

- **Practice address:** 6776 SOUTHWEST FWY, SUITE 535, HOUSTON, TX 77074-2107
- **Practice address phone:** (713) 781-9992
- **Practice address fax:** (713) 781-9995
- **Mailing address:** 6776 SOUTHWEST FWY, SUITE 535, HOUSTON, TX 77074-2107
- **Mailing address phone:** (713) 781-9992
- **Mailing address fax:** (713) 781-9995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0088708 | TX | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 08/05/2008