Healthcare Provider Details
I. General information
NPI: 1922213099
Provider Name (Legal Business Name): MONITOR MEDICAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2007
Last Update Date: 12/28/2022
Certification Date: 12/28/2022
Deactivation Date: 12/20/2022
Reactivation Date: 12/28/2022
III. Provider practice location address
9731 WORTHAM BLVD #102
HOUSTON TX
77065
US
IV. Provider business mailing address
12999 JESS PIRTLE BLVD
SUGAR LAND TX
77478-2851
US
V. Phone/Fax
- Phone: 281-970-5550
- Fax: 281-240-2383
- Phone: 281-240-2222
- Fax: 281-240-1164
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | 0083804 |
| License Number State | TX |
VIII. Authorized Official
Name: MR.
RICHARD
E
WEBB
Title or Position: CEO
Credential: RRT,RCP
Phone: 281-240-7222