# SENIOR'S PAIN RELIEF MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1871775205
- **Authorized official:** MR. JUAN PABLO LOPEZ (OWNER)
- **Authorized official phone:** (832) 229-9943

## Contact information

- **Practice address:** 16711 N MIST DR, HOUSTON, TX 77073-5254
- **Practice address phone:** (832) 229-9943
- **Practice address fax:** (281) 446-7223
- **Mailing address:** 20807 FOX CLIFF LN, HUMBLE, TX 77338-6718
- **Mailing address phone:** (832) 229-9943
- **Mailing address fax:** (281) 446-7223

## Taxonomy

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

## Other

- **Enumeration date:** 11/27/2007
- **Last updated:** 11/28/2007