Organization
MEDICAL PLUS SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ESTEBAN VICTOR RODRIGUEZ (PRESIDENT)
(713) 440-6700
Entity
Organization
Contact information
Practice address
4025 W FUQUA ST, HOUSTON, TX 77045-6303
(800) 298-3948
(866) 867-7395
Mailing address
PO BOX 84110, PEARLAND, TX 77584-0018
(800) 298-3948
(186) 686-7739
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0033221
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016097001
—
TX
01
—
087340801
CCP
TX
01
—
1639265
LOUISIANA MEDICAID
—
Enumeration date
03/14/2006
Last updated
03/19/2015
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