Healthcare Provider Details

I. General information

NPI: 1093014227
Provider Name (Legal Business Name): THE COMPRESSION SHOP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2011
Last Update Date: 03/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 S LOOP W STE 300U
HOUSTON TX
77054-2606
US

IV. Provider business mailing address

2600 S LOOP W STE 300U
HOUSTON TX
77054-2606
US

V. Phone/Fax

Practice location:
  • Phone: 713-829-9504
  • Fax: 866-773-0934
Mailing address:
  • Phone: 713-829-9504
  • Fax: 866-773-0934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: FELIX G ANGUIANO JR.
Title or Position: FITTER/OWNER
Credential:
Phone: 713-829-9504