Organization
CHRISCILLIA MEDICAL SUPPLY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLIA MADUEKE (CEO)
(713) 664-1673
Entity
Organization
Contact information
Practice address
6006 BELLAIRE BLVD STE 216, HOUSTON, TX 77081-5439
(713) 664-1673
(713) 664-1674
Mailing address
6006 BELLAIRE BLVD STE 216, HOUSTON, TX 77081-5439
(713) 664-1673
(713) 664-1674
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0088192
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193795501
—
TX
05
—
193795502
—
TX
05
—
193795503
—
TX
Enumeration date
02/22/2008
Last updated
12/04/2008
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