MEDICARE: HARVARD MEDICAL SUPPLIERS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1306051818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARVARD MEDICAL SUPPLIERS INC

Provider Business Mailing Address
First Line	:	3114 TELGE
Second Line	:	SUITE C
City	:	HOUSTON
State	:	TX
Zip	:	77054-5282
Country	:	US
Telephone Number	:	713-842-3600
Fax Number	:	713-522-8239

Provider Business Practice Location Address
First Line	:	3114 TELGE STREET.
Second Line	:	SUITE C
City	:	HOUSTON
State	:	TX
Zip	:	77054-5282
Country	:	US
Telephone Number	:	713-842-3600
Fax Number	:	713-522-8239

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JANICE MARIE BEAL
Credential	:	ED.D.
Telephone Number	:	713-842-3600

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	11/30/2007

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