Organization
SAFEWAY MEDICAL CORPORATION
Active
Other names
Safeway Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA D MILLER (PRESIDENT)
(713) 807-9922
Entity
Organization
Contact information
Practice address
1212 WESTHEIMER RD, HOUSTON, TX 77006-2613
(713) 807-9922
(713) 807-9924
Mailing address
1212 WESTHEIMER RD, HOUSTON, TX 77006-2613
(713) 807-9922
(713) 807-9924
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0031502
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010282401
—
TX
Enumeration date
09/26/2006
Last updated
08/11/2021
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