Healthcare Provider Details

I. General information

NPI: 1306872890
Provider Name (Legal Business Name): M'S MEDICAL SUPPLY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2430 FRY RD STE 106
HOUSTON TX
77084-5831
US

IV. Provider business mailing address

2430 FRY RD STE 106
HOUSTON TX
77084-5831
US

V. Phone/Fax

Practice location:
  • Phone: 281-599-3633
  • Fax: 281-599-0524
Mailing address:
  • Phone: 281-599-3633
  • Fax: 281-599-0524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE D KISIJARA
Title or Position: OWNER
Credential:
Phone: 281-599-3633