Provider Demographics
NPI:1215262506
Name:ASSURANCE MEDICAL SUPPLIES
Entity type:Organization
Organization Name:ASSURANCE MEDICAL SUPPLIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:NWOKORIE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-772-7760
Mailing Address - Street 1:9894 BISSONNET ST STE 865
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8272
Mailing Address - Country:US
Mailing Address - Phone:713-772-7760
Mailing Address - Fax:713-772-7761
Practice Address - Street 1:9894 BISSONNET ST STE 865
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8272
Practice Address - Country:US
Practice Address - Phone:713-772-7760
Practice Address - Fax:713-772-7761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies