Organization
IVY HEALTH CARE SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN ADIZA YUSUF (OWNER)
(281) 499-1358
Entity
Organization
Contact information
Practice address
630 MURPHY ROAD, SUITE 109, STAFFORD, TX 77477-6888
(281) 499-1358
(281) 499-1682
Mailing address
630 MURPHY ROAD, SUITE 109, STAFFORD, TX 77477
(281) 499-1358
(281) 499-1682
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0067258
TX
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5726820002
TX
Other
Enumeration date
06/22/2006
Last updated
07/11/2008
Update your record
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