Provider Demographics
NPI:1972734762
Name:A HUG AWAY MEDICAL SUPPLIES
Entity type:Organization
Organization Name:A HUG AWAY MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TIKISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-391-2484
Mailing Address - Street 1:1203 AVENUE D
Mailing Address - Street 2:SUITE B
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-1952
Mailing Address - Country:US
Mailing Address - Phone:281-391-2484
Mailing Address - Fax:281-605-1307
Practice Address - Street 1:1203 AVENUE D
Practice Address - Street 2:AVENUE D
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-1952
Practice Address - Country:US
Practice Address - Phone:281-391-2484
Practice Address - Fax:281-605-1307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-28
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
208000000X, 252Y00000X, 253Z00000X, 261QC1500X, 261QP0904X, 261QP2400X, 332BD1200X, 332BP3500X, 332BX2000X, 332S00000X, 333300000X, 335G00000X, 335V00000X
TX1000197332B00000X, 332BN1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QP0904XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, Federal
No261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332S00000XSuppliersHearing Aid Equipment
No333300000XSuppliersEmergency Response System Companies
No335G00000XSuppliersMedical Foods Supplier
No335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6475780001Medicare NSC