Organization
MDS MEDICAL DIAGNOSTIC AND SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY ADISA AYOOLA (PRESIDENT)
(281) 955-3377
Entity
Organization
Contact information
Practice address
11706 FALLBROOK DR, SUITE B, HOUSTON, TX 77065-3510
(281) 955-3377
(281) 955-3424
Mailing address
PO BOX 692312, HOUSTON, TX 77269-2312
(281) 955-3377
(281) 955-3424
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1000715
TX
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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