Organization
ELIXIR SUPPLY & SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUNNY ODEY IDIKU (PRESIDENT)
(713) 988-8989
Entity
Organization
Contact information
Practice address
9894 BISSONNET ST, STE. 100-0, HOUSTON, TX 77036-8239
(713) 988-8989
(713) 988-8989
Mailing address
9894 BISSONNET ST, SUITE 100-0, HOUSTON, TX 77036-8239
(713) 988-8989
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000086
TX
Other
Enumeration date
07/25/2009
Last updated
08/30/2010
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