# MYKYTYN MEDICAL SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NORTHSHORE MEDICAL SUPPLY INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861498081
- **Authorized official:** MRS. SCHURA CHRISTINE NORMAND (OWNER)
- **Authorized official phone:** (713) 451-4462

## Contact information

- **Practice address:** 375 MAXEY RD, HOUSTON, TX 77013-4545
- **Practice address phone:** (713) 451-4462
- **Practice address fax:** (713) 451-8330
- **Mailing address:** 375 MAXEY RD, HOUSTON, TX 77013-4545
- **Mailing address phone:** (713) 451-4462
- **Mailing address fax:** (713) 451-8330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0073397 | TX | Yes |

## Other

- **Enumeration date:** 06/22/2005
- **Last updated:** 06/18/2008