Provider Demographics
NPI:1487750584
Name:K C INTERNATIONAL MEDICAL SCIENTIFIC SUPPLY INC
Entity type:Organization
Organization Name:K C INTERNATIONAL MEDICAL SCIENTIFIC SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MATHEW
Authorized Official - Middle Name:UCHE
Authorized Official - Last Name:OKOROCHA
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:713-774-9068
Mailing Address - Street 1:9884C SOUTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1350
Mailing Address - Country:US
Mailing Address - Phone:713-774-2600
Mailing Address - Fax:713-774-7516
Practice Address - Street 1:9884C SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1350
Practice Address - Country:US
Practice Address - Phone:713-774-2600
Practice Address - Fax:713-774-7516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0038683332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies