Organization
MEDICAL CENTER SURGICAL SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ICENHOWER (OWNER)
(713) 666-9022
Entity
Organization
Contact information
Practice address
5313 BELLAIRE BLVD, BELLAIRE, TX 77401-3903
(713) 666-9022
(713) 666-9386
Mailing address
5313 BELLAIRE BLVD, BELLAIRE, TX 77401-3903
(713) 666-9022
(713) 666-9386
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0075417
TX
Other
Enumeration date
03/08/2006
Last updated
08/22/2020
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