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NPI Code Detail

MEDICARE: WELLCARE MEDICAL SUPPLY INC

MEDICARE: WELLCARE 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1487505574
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLCARE MEDICAL SUPPLY INC
Provider Business Mailing Address
First Line : 800 WILCREST DR STE 207
Second Line :
City : HOUSTON
State : TX
Zip : 77042-6301
Country : US
Telephone Number : 713-505-1264
Fax Number :
Provider Business Practice Location Address
First Line : 800 WILCREST DR STE 207
Second Line :
City : HOUSTON
State : TX
Zip : 77042-6301
Country : US
Telephone Number : 713-505-1264
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SADDAM MUSHTAQUE
Credential :
Telephone Number : 832-680-8188
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “WELLCARE MEDICAL SUPPLY INC ” Practice Location

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