Healthcare Provider Details

I. General information

NPI: 1366492811
Provider Name (Legal Business Name): PRECISION HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 04/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 FM 1960 RD W SUITE S
HOUSTON TX
77090-3418
US

IV. Provider business mailing address

850 FM 1960 RD W SUITE S
HOUSTON TX
77090-3418
US

V. Phone/Fax

Practice location:
  • Phone: 281-586-9509
  • Fax: 281-586-9607
Mailing address:
  • Phone: 281-586-9509
  • Fax: 281-586-9607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0042594
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0042594
License Number StateTX

VIII. Authorized Official

Name: MR. RIAZ POONAWALA
Title or Position: OWNER
Credential:
Phone: 281-586-9509