Organization
IMMACULATE EMS, INC
Active
Other names
immaculate medical supply
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER ANANI (DIRECTOR)
(832) 419-1199
Entity
Organization
Contact information
Practice address
9001 AIRPORT BLVD STE 703, HOUSTON, TX 77061-3447
(832) 419-1199
Mailing address
PO BOX 570185, HOUSTON, TX 77257-0185
(832) 419-1199
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
02/11/2008
Last updated
07/09/2009
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