Organization
M'S MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE D KISIJARA (OWNER)
(281) 599-3633
Entity
Organization
Contact information
Practice address
2430 FRY RD STE 106, HOUSTON, TX 77084-5831
(281) 599-3633
(281) 599-0524
Mailing address
2430 FRY RD STE 106, HOUSTON, TX 77084-5831
(281) 599-3633
(281) 599-0524
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176406001
—
TX
05
—
176406003
—
TX
01
—
5287880001
MEDICARE
TX
Enumeration date
06/25/2006
Last updated
12/05/2024
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