Organization
PVT HEALTH CARE & MEDICAL SUPPLY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GBENGA ANTHONY FADIPE (SOLE OWNER)
(713) 271-0339
Entity
Organization
Contact information
Practice address
9207 COUNTRY CREEK DR STE 106, HOUSTON, TX 77036-7711
(713) 271-0339
Mailing address
9207 COUNTRY CREEK DR STE 106, HOUSTON, TX 77036-7711
(713) 271-0339
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0092790
TX
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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