Provider Demographics
NPI:1063764728
Name:ADVANCED MEDICAL EQUIPMENT AND SUPPLIES HOUSTON
Entity type:Organization
Organization Name:ADVANCED MEDICAL EQUIPMENT AND SUPPLIES HOUSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:HEEFNER
Authorized Official - Last Name:BOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-665-1775
Mailing Address - Street 1:10404 SPENCER HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:LA PORTE
Mailing Address - State:TX
Mailing Address - Zip Code:77571-4541
Mailing Address - Country:US
Mailing Address - Phone:832-665-1775
Mailing Address - Fax:866-244-6560
Practice Address - Street 1:10404 SPENCER HWY
Practice Address - Street 2:SUITE B
Practice Address - City:LA PORTE
Practice Address - State:TX
Practice Address - Zip Code:77571-4541
Practice Address - Country:US
Practice Address - Phone:832-665-1775
Practice Address - Fax:866-244-6560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies