MEDICARE: ACCESSIBILITY MEDICAL SUPPLY, 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	0105606	TX

General Provider Information

NPI Number	:	1396990172
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESSIBILITY MEDICAL SUPPLY, INC.

Provider Business Mailing Address
First Line	:	4822 MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-2930
Country	:	US
Telephone Number	:	713-492-2250
Fax Number	:	713-492-2255

Provider Business Practice Location Address
First Line	:	4822 MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-2930
Country	:	US
Telephone Number	:	713-492-2250
Fax Number	:	713-492-2255

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. JANELL LATRICE JOHNSON-ARZU
Credential	:
Telephone Number	:	713-492-2250

Provider Enumeration Date	:	11/20/2008
Last Update Date	:	09/15/2009

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