Organization
FIRST CLASS MEDICAL EQUIPMENT AND SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HEATON (OPERATIONS DIRECTOR)
(713) 696-9363
Entity
Organization
Contact information
Practice address
55 LYERLY ST, SUITE 300, HOUSTON, TX 77022-3062
(713) 696-9363
(713) 696-9321
Mailing address
55 LYERLY ST, SUITE 300, HOUSTON, TX 77022-3062
(713) 696-9363
(713) 696-9321
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0062942
TX
332B00000X
Durable Medical Equipment & Medical Supplies
TX 14425
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0062942
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164676201
—
TX
05
—
164676202
—
TX
05
—
164676203
—
TX
05
—
164676204
—
TX
01
—
531963
BCBS TX PROVIDER NUMBER
TX
Enumeration date
07/11/2005
Last updated
06/19/2015
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