Organization
ESSENTIAL MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MFON OKON ENYONG (OWNER)
(832) 595-1290
Entity
Organization
Contact information
Practice address
1106 MORTON STREET, F, RICHMOND, TX 77469
(832) 595-1290
(832) 595-1292
Mailing address
1106 MORTON STREET, F, RICHMOND, TX 77469
(832) 595-1290
(832) 595-1292
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
14184
TX
Other
Enumeration date
07/26/2007
Last updated
04/18/2008
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