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Organization
STARLINE MEDICAL SUPPLY CO.
Active
Organization
STARLINE MEDICAL SUPPLY CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYLVANUS OKORO KANU MBA (DIRECTOR OPERATIONS)
(281) 208-2421
Entity
Organization
Contact information
Practice address
2427 FM 1092 RD, MISSOURI CITY, TX 77459-1809
(281) 208-2421
(281) 208-2419
Mailing address
2427 FM 1092 RD, MISSOURI CITY, TX 77459-1809
(281) 208-2421
(281) 208-2419
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0063183
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0063183
TX
Other
Enumeration date
09/29/2005
Last updated
09/26/2008
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