MEDICARE: 1ST CHOICE 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
1	332B00000X	Durable Medical Equipment & Medical Supplies	101666	TX

General Provider Information

NPI Number	:	1871762195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1ST CHOICE MEDICAL EQUIPMENT

Provider Business Mailing Address
First Line	:	16903 RED OAK DR
Second Line	:	STE. 162
City	:	HOUSTON
State	:	TX
Zip	:	77090-3914
Country	:	US
Telephone Number	:	713-589-5306
Fax Number	:	832-533-2160

Provider Business Practice Location Address
First Line	:	16903 RED OAK DR
Second Line	:	STE. 162
City	:	HOUSTON
State	:	TX
Zip	:	77090-3914
Country	:	US
Telephone Number	:	713-589-5306
Fax Number	:	832-533-2160

Authorized Official
Title or Position	:	OWNER
Name	:	MR. EDWIN DANIEL QUINTEROS
Credential	:
Telephone Number	:	713-589-5306

Provider Enumeration Date	:	02/21/2008
Last Update Date	:	06/11/2008

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