Healthcare Provider Details

I. General information

NPI: 1235057787
Provider Name (Legal Business Name): VIGILANT MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8990 KIRBY DR STE 220
HOUSTON TX
77054-2853
US

IV. Provider business mailing address

8990 KIRBY DR STE 220 NO 17305314
HOUSTON TX
77054-2853
US

V. Phone/Fax

Practice location:
  • Phone: 832-266-3192
  • Fax:
Mailing address:
  • Phone: 832-266-3192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AJAZ AHMED
Title or Position: SOLE MBR
Credential:
Phone: 832-266-3192