Organization
ACTIVE LIFESTYLE PRODUCTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IOANNIS XIDERIS (PRESIDENT)
(281) 897-0500
Entity
Organization
Contact information
Practice address
1 SPYGLASS CT, HOUSTON, TX 77064-4060
(832) 746-7370
(281) 897-0500
Mailing address
10910 KATY FWY, HOUSTON, TX 77079-2204
(281) 897-0500
(281) 897-0500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0081833
TX
Other
Enumeration date
05/03/2006
Last updated
06/16/2008
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