Organization
HOUSTON ADVANCE MEDLINE MEDICAL SUPPLY
Active
Other names
houston advance medline medical supply
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL MICHAEL LORD (ADMINITRATOR)
(713) 772-1109
Entity
Organization
Contact information
Practice address
10103 FONDREN RD, STE 491, HOUSTON, TX 77096-4556
(713) 772-1109
(713) 271-7744
Mailing address
10103 FONDREN RD, STE 491, HOUSTON, TX 77096-4556
(713) 772-1109
(713) 271-7744
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/08/2007
Last updated
08/22/2020
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