MEDICARE: MEDSERVE GLOBAL SUPPLIES

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	:	1598422438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDSERVE GLOBAL SUPPLIES

Provider Business Mailing Address
First Line	:	13504 SCHROEDER RD APT 1208
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-3651
Country	:	US
Telephone Number	:	281-248-7046
Fax Number	:

Provider Business Practice Location Address
First Line	:	13504 SCHROEDER RD APT 1208
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-3651
Country	:	US
Telephone Number	:	281-248-7046
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SHARI W BOYD
Credential	:
Telephone Number	:	281-248-7046

Provider Enumeration Date	:	11/28/2021
Last Update Date	:	11/28/2021

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