Healthcare Provider Details

I. General information

NPI: 1639081995
Provider Name (Legal Business Name): OCTA PROMOTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

6833 LAKEVIEW HAVEN DR APT 1434
HOUSTON TX
77084-5856
US

IV. Provider business mailing address

6833 LAKEVIEW HAVEN DR APT 1434
HOUSTON TX
77084-5856
US

V. Phone/Fax

Practice location:
  • Phone: 571-650-0469
  • Fax:
Mailing address:
  • Phone: 571-650-0469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SUNIL JOHN
Title or Position: OWNER
Credential:
Phone: 571-650-0469