Provider Demographics
NPI:1699915280
Name:SKYE MEDICAL SIPPLY,INC.
Entity type:Organization
Organization Name:SKYE MEDICAL SIPPLY,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:CHICHI
Authorized Official - Last Name:ISIGUZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-977-1511
Mailing Address - Street 1:6250 WESTPARK DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7322
Mailing Address - Country:US
Mailing Address - Phone:713-977-1511
Mailing Address - Fax:713-977-1509
Practice Address - Street 1:6250 WESTPARK DR
Practice Address - Street 2:SUITE 106
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7322
Practice Address - Country:US
Practice Address - Phone:713-977-1511
Practice Address - Fax:713-977-1509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0109429332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies