Healthcare Provider Details

I. General information

NPI: 1780403998
Provider Name (Legal Business Name): RYZEN MEDICAL SUPPLIERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2024
Last Update Date: 10/04/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 FULTON ST STE 208
HOUSTON TX
77022-3623
US

IV. Provider business mailing address

7700 FULTON ST STE 208
HOUSTON TX
77022-3623
US

V. Phone/Fax

Practice location:
  • Phone: 773-492-8648
  • Fax:
Mailing address:
  • Phone: 512-738-6413
  • 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: MR. SYED RAHAT
Title or Position: CEO
Credential:
Phone: 512-738-6413