Healthcare Provider Details

I. General information

NPI: 1033034657
Provider Name (Legal Business Name): THANVI HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5020 FM 1960 RD W
HOUSTON TX
77069-4519
US

IV. Provider business mailing address

5020 FM 1960 RD W
HOUSTON TX
77069-4519
US

V. Phone/Fax

Practice location:
  • Phone: 312-521-0020
  • Fax:
Mailing address:
  • Phone: 312-521-0020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. EHTISHAM U THANVI JR.
Title or Position: OWNER
Credential:
Phone: 312-521-0020