Provider Demographics
NPI:1396990172
Name:ACCESSIBILITY MEDICAL SUPPLY, INC.
Entity type:Organization
Organization Name:ACCESSIBILITY MEDICAL SUPPLY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANELL
Authorized Official - Middle Name:LATRICE
Authorized Official - Last Name:JOHNSON-ARZU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-492-2250
Mailing Address - Street 1:4822 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-2930
Mailing Address - Country:US
Mailing Address - Phone:713-492-2250
Mailing Address - Fax:713-492-2255
Practice Address - Street 1:4822 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-2930
Practice Address - Country:US
Practice Address - Phone:713-492-2250
Practice Address - Fax:713-492-2255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-20
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0105606332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies