Provider Demographics
NPI:1386495471
Name:ABSOLUTE MED SUPPLIES
Entity type:Organization
Organization Name:ABSOLUTE MED SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KSHAF
Authorized Official - Middle Name:
Authorized Official - Last Name:MOEIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-377-1804
Mailing Address - Street 1:6809 AVENUE F
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77011-3645
Mailing Address - Country:US
Mailing Address - Phone:713-377-1804
Mailing Address - Fax:
Practice Address - Street 1:6809 AVENUE F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77011-3645
Practice Address - Country:US
Practice Address - Phone:713-377-1804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies