Organization
COZ-DMEQ CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTUS EDET (ADMINISTRATOR)
(713) 772-3411
Entity
Organization
Contact information
Practice address
9894 BISSONNET ST STE 678, HOUSTON, TX 77036-8272
(713) 772-3411
(713) 772-3412
Mailing address
9894 BISSONNET ST STE 678, HOUSTON, TX 77036-8272
(713) 772-3411
(713) 772-3412
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0062963
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
531460
DME - BCBS OF TX
TX
Enumeration date
04/25/2007
Last updated
08/22/2020
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