Healthcare Provider Details

I. General information

NPI: 1356349658
Provider Name (Legal Business Name): TMC ORTHOPEDIC RENTALS LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 11/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 SOUTH LOOP WEST STE 150
HOUSTON TX
77054-4658
US

IV. Provider business mailing address

1000 SOUTH LOOP WEST STE 140
HOUSTON TX
77054-4658
US

V. Phone/Fax

Practice location:
  • Phone: 713-669-1800
  • Fax:
Mailing address:
  • Phone: 713-669-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0043845
License Number StateTX

VIII. Authorized Official

Name: MS. PEGGY ANN BROUSSARD
Title or Position: MANAGED CARE COORDINATOR
Credential:
Phone: 713-669-1800