Organization
DUCK'S MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACY PENA (OWNER)
(832) 859-3149
Entity
Organization
Contact information
Practice address
5203 TELEPHONE RD STE B, HOUSTON, TX 77087-3681
(832) 859-3149
Mailing address
906 N ELDER GROVE DR, PEARLAND, TX 77584-7795
(832) 859-3149
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
TX
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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