Organization
ON TIME MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MEDRICK MASON MORRIS (CHIEF FINANCIAL OFFICER)
(713) 443-8003
Entity
Organization
Contact information
Practice address
14455 CULLEN BLVD, SUITE C1, HOUSTON, TX 77047-4800
(713) 731-0880
(713) 731-2005
Mailing address
14455 CULLEN BLVD, SUITE C1, HOUSTON, TX 77047-4800
(713) 731-0880
(713) 731-2005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
92761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2147738-01CCP
—
TX
05
—
2147738-02DM2
—
TX
Enumeration date
10/25/2006
Last updated
01/11/2012
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