Organization
3RD ST MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOHA ABDELLATIF (CEO)
(888) 258-0602
Entity
Organization
Contact information
Practice address
5750 N SAM HOUSTON PKWY E, SUITE 513, HOUSTON, TX 77032-4090
(888) 258-0602
Mailing address
5750 N SAM HOUSTON PKWY E, SUITE 513, HOUSTON, TX 77032-4090
(888) 258-0602
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669747390
—
CA
Enumeration date
03/13/2012
Last updated
12/11/2013
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