Organization
REDI-QUIP MEDICAL EQUIPMENT & SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES WILLIAM PETERSON III (PRESIDENT)
(281) 492-2799
Entity
Organization
Contact information
Practice address
16820 BARKER SPRINGS RD, SUITE E500, HOUSTON, TX 77084-5040
(281) 492-2799
(281) 492-7479
Mailing address
PO BOX 218418, HOUSTON, TX 77218-8418
(281) 492-2799
(281) 492-7479
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010744301
—
TX
05
—
016560701
—
TX
01
—
530496
BLUE CROSS BLUE SHIELD
TX
01
—
82-00345
EVERCARE OF TEXAS
TX
Enumeration date
06/24/2006
Last updated
08/16/2009
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