MEDICARE: R PLUS MEDICAL 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
1	332B00000X	Durable Medical Equipment & Medical Supplies	1000443	TX

General Provider Information

NPI Number	:	1962702852
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R PLUS MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	7638 LAVENDER ST. STE.1
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77016-6348
Country	:	US
Telephone Number	:	713-635-4184
Fax Number	:	713-748-4410

Provider Business Practice Location Address
First Line	:	7638 LAVENDER ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77016-6348
Country	:	US
Telephone Number	:	713-635-4184
Fax Number	:	800-306-6401

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KEVIN ROGERS
Credential	:
Telephone Number	:	713-635-4184

Provider Enumeration Date	:	10/26/2010
Last Update Date	:	04/07/2011

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