Healthcare Provider Details

I. General information

NPI: 1669649794
Provider Name (Legal Business Name): MALATY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2008
Last Update Date: 05/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10523 HERALD SQUARE DR
HOUSTON TX
77099-1811
US

IV. Provider business mailing address

10523 HERALD SQUARE DR
HOUSTON TX
77099-1811
US

V. Phone/Fax

Practice location:
  • Phone: 281-561-6410
  • Fax: 281-575-0567
Mailing address:
  • Phone: 281-561-6410
  • Fax: 281-575-0567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number53643
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number53643
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number53643
License Number StateTX

VIII. Authorized Official

Name: MR. NABIL WAHBA MALATY
Title or Position: PRESIDENT OWNER
Credential: RRT
Phone: 281-561-6410