Organization
PERFORMANCE EXCELLENCE CORPORATION
Active
Other names
Performance Excellence Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MALINDA WALLER (OWNER)
(281) 558-2273
Entity
Organization
Contact information
Practice address
12002 RICHMOND AVE, 700, HOUSTON, TX 77082-2433
(281) 558-2273
(281) 558-2275
Mailing address
12002 RICHMOND AVE, 700, HOUSTON, TX 77082-2433
(281) 558-2273
(281) 558-2275
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0061279
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151906801
—
TX
05
—
151907601
—
TX
01
—
531185
DMEPOS
TX
Enumeration date
01/02/2007
Last updated
04/17/2012
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