Healthcare Provider Details

I. General information

NPI: 1568656890
Provider Name (Legal Business Name): HERMANN MEDICAL SUPPLIES II, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2007
Last Update Date: 03/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1314 FM 1960 ROAD WEST
HOUSTON TX
77090-3809
US

IV. Provider business mailing address

1314 FM 1960 ROAD WEST
HOUSTON TX
77090-3809
US

V. Phone/Fax

Practice location:
  • Phone: 281-580-1992
  • Fax: 281-580-1943
Mailing address:
  • Phone: 281-580-1992
  • Fax: 281-580-1943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number13420298252
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number32033747950
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateTX

VIII. Authorized Official

Name: ABIGAIL GREENE
Title or Position: PRESIDENT
Credential:
Phone: 281-392-1114