Provider Demographics
NPI:1588250831
Name:MEDIQUIP TEXAS
Entity type:Organization
Organization Name:MEDIQUIP TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DUSEK
Authorized Official - Suffix:
Authorized Official - Credentials:LNFA
Authorized Official - Phone:713-553-1321
Mailing Address - Street 1:6001 GEORGE BUSH DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-1991
Mailing Address - Country:US
Mailing Address - Phone:713-553-1321
Mailing Address - Fax:
Practice Address - Street 1:6001 GEORGE BUSH DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-1991
Practice Address - Country:US
Practice Address - Phone:713-553-1321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-20
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies