Healthcare Provider Details

I. General information

NPI: 1659284867
Provider Name (Legal Business Name): MEDCORE MEDICAL EQUIPMENT & SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12715 WOODFOREST BLVD
HOUSTON TX
77015-2737
US

IV. Provider business mailing address

515 VANDEVER AVE
WILMINGTON DE
19802-4240
US

V. Phone/Fax

Practice location:
  • Phone: 610-255-7800
  • Fax:
Mailing address:
  • Phone:
  • 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: FAISAL HALIM
Title or Position: OWNER
Credential:
Phone: 610-255-7800