Organization
BEFORE LISTING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EZE JOHN (DIRECTOR)
(508) 410-0512
Entity
Organization
Contact information
Practice address
9894 BISSONNET ST, 675, HOUSTON, TX 77036
(877) 619-5254
(281) 271-7073
Mailing address
7100 REGENCY SQUARE BLVD STE 252, HOUSTON, TX 77036-3186
(877) 619-5254
(281) 271-7073
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
171WH0202X
Home Modifications Contractor
Primary
—
—
171WV0202X
Vehicle Modifications Contractor
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/01/2016
Last updated
05/06/2022
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