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NPI Code Detail

MEDICARE: CROWN SCRUBS & MED SUPPLY

MEDICARE: CROWN SCRUBS & MED SUPPLY
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 Supplies0109819TX

General Provider Information

NPI Number : 1669614681
Entity Type Code : Organization
Provider Name (Legal Business Name) : CROWN SCRUBS & MED SUPPLY
Provider Business Mailing Address
First Line : 2376 S DAIRY ASHFORD ST
Second Line :
City : HOUSTON
State : TX
Zip : 77077-5718
Country : US
Telephone Number : 281-293-8633
Fax Number : 281-293-8633
Provider Business Practice Location Address
First Line : 2376 S DAIRY ASHFORD ST
Second Line :
City : HOUSTON
State : TX
Zip : 77077-5718
Country : US
Telephone Number : 281-293-8633
Fax Number : 281-293-8633
Authorized Official
Title or Position : PRESIDENT
Name : BARKAT ALI
Credential :
Telephone Number : 281-293-8633
Provider Enumeration Date : 04/06/2009
Last Update Date : 04/06/2009

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Directions to “CROWN SCRUBS & MED SUPPLY ” Practice Location

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