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NPI Code Detail

MEDICARE: THE COVENANT MEDICAL EQUIPMENT

MEDICARE: THE COVENANT MEDICAL EQUIPMENT
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 : 1750525051
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE COVENANT MEDICAL EQUIPMENT
Provider Business Mailing Address
First Line : 1802 ELM SHADOW DR
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77489-2920
Country : US
Telephone Number : 281-710-8738
Fax Number :
Provider Business Practice Location Address
First Line : 1802 ELM SHADOW DR
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77489-2920
Country : US
Telephone Number : 281-710-8738
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. OLUSOLA AJELETI-OLUFADEJU
Credential :
Telephone Number : 281-710-8738
Provider Enumeration Date : 04/30/2009
Last Update Date : 04/30/2009

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Directions to “THE COVENANT MEDICAL EQUIPMENT ” Practice Location

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