Organization
LEONARD GICHANGI IRERI
Active
Other names
MILLENIA MEDICAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD GICHANGI IRERI (OWNER/CEO)
(832) 224-4784
Entity
Organization
Contact information
Practice address
10951 SCARSDALE BLVD, HOUSTON, TX 77089-6033
(281) 741-4067
(832) 201-8772
Mailing address
PO BOX 890372, HOUSTON, TX 77289-0372
(281) 741-4067
(832) 201-8772
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1001602
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001602
TEXAS DME LICENSE
TX
05
—
384198301
—
TX
01
—
534476
BCBS
TX
01
—
760243001
MEDICARE
—
Enumeration date
09/08/2015
Last updated
07/26/2019
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