Healthcare Provider Details
I. General information
NPI: 1619716123
Provider Name (Legal Business Name): MONITOR MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2024
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1820 SNAKE RIVER RD STE A
KATY TX
77449-7748
US
IV. Provider business mailing address
12999 JESS PIRTLE BLVD
SUGAR LAND TX
77478-2851
US
V. Phone/Fax
- Phone: 281-240-7222
- Fax: 281-240-1164
- Phone: 281-240-7222
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICHARD
E
WEBB
Title or Position: CEO
Credential:
Phone: 281-240-7222