Organization
MY NISSI MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA SIMI EDEBOR M. ED. (MAEKETING MANAGER)
(832) 524-1284
Entity
Organization
Contact information
Practice address
15074 HWY 6, ROSHARON, TX 77583
(281) 431-6898
(281) 431-6899
Mailing address
15074 HWY 6, ROSHARON, TX 77583
(281) 431-6898
(281) 431-6899
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093242
FOOD &DRUG
TX
01
—
TXD0013867 #93392
BEDDING LI
TX
Enumeration date
05/03/2007
Last updated
08/22/2020
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