Provider Demographics
NPI:1902618549
Name:MED RELIANCE DME LLC
Entity type:Organization
Organization Name:MED RELIANCE DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MAKHDOOM
Authorized Official - Middle Name:I
Authorized Official - Last Name:HASHMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-444-7763
Mailing Address - Street 1:5420 CHIMNEY ROCK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-2014
Mailing Address - Country:US
Mailing Address - Phone:346-444-7763
Mailing Address - Fax:346-444-7763
Practice Address - Street 1:5420 CHIMNEY ROCK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-2014
Practice Address - Country:US
Practice Address - Phone:346-444-7763
Practice Address - Fax:346-444-7763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies