MEDICARE: CHARTWELL DISTRIBUTORS INC

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

General Provider Information

NPI Number	:	1982815775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARTWELL DISTRIBUTORS INC

Provider Business Mailing Address
First Line	:	2918 SAN JACINTO ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-2708
Country	:	US
Telephone Number	:	713-523-7847
Fax Number	:	713-524-5024

Provider Business Practice Location Address
First Line	:	2918 SAN JACINTO ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-2708
Country	:	US
Telephone Number	:	713-523-7847
Fax Number	:	713-524-5024

Authorized Official
Title or Position	:	OWNER
Name	:	KHYATI UNDAVIA
Credential	:	PHARMACIST
Telephone Number	:	713-523-7847

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	08/22/2020

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Directions to “CHARTWELL DISTRIBUTORS INC ” Practice Location

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