Organization
LAWRENCE S ELLIOTT DBA MEDQUIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE S ELLIOTT (OWNER)
(832) 467-3574
Entity
Organization
Contact information
Practice address
3510 OAK FOREST DR, HOUSTON, TX 77018
(832) 467-3574
(281) 477-0203
Mailing address
3510 OAK FOREST DR, HOUSTON, TX 77018
(832) 467-3574
(281) 477-0203
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0046063
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0046063
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017272801
—
TX
01
—
17089143
EVERCARE COMMUNITY HMO
TX
01
—
83503
DME EVERCARE STAR PLUS
TX
Enumeration date
04/20/2006
Last updated
05/17/2010
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