Organization
BY THE GRACE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS J IBIOK (MANAGER)
(713) 270-0083
Entity
Organization
Contact information
Practice address
8633 W AIRPORT BLVD, 1008, HOUSTON, TX 77071-2479
(713) 270-0083
(713) 270-0530
Mailing address
8633 W AIRPORT BLVD, 1008, HOUSTON, TX 77071-2479
(713) 270-0083
(713) 270-0530
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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