MEDICARE: ROSA F LOUIS

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	0080984	TX

General Provider Information

NPI Number	:	1871505909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSA F LOUIS

Provider Business Mailing Address
First Line	:	8109 CULLEN BLVD
Second Line	:	SUITE G
City	:	HOUSTON
State	:	TX
Zip	:	77051-2064
Country	:	US
Telephone Number	:	713-733-0332
Fax Number	:	713-733-2243

Provider Business Practice Location Address
First Line	:	8109 CULLEN BLVD
Second Line	:	SUITE G
City	:	HOUSTON
State	:	TX
Zip	:	77051-2064
Country	:	US
Telephone Number	:	713-733-0332
Fax Number	:	713-733-2243

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. ROBERT LOUIS I
Credential	:
Telephone Number	:	713-733-0332

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	08/14/2014

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