Organization
FAYETTE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BELEMA ALEX AMACHREE (CEO)
(832) 877-2116
Entity
Organization
Contact information
Practice address
1513 FANNIN ST, SUITE C, COLUMBUS, TX 78934-2515
(832) 877-2116
(281) 530-4337
Mailing address
1513 FANNIN ST, SUITE C, COLUMBUS, TX 78934-2515
(832) 877-2116
(281) 530-4337
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0097214
TX
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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