Healthcare Provider Details

I. General information

NPI: 1841595857
Provider Name (Legal Business Name): CENTURION MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2011
Last Update Date: 01/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22815 PARKWALK LN
KATY TX
77494-4451
US

IV. Provider business mailing address

4615 SOUTHWEST FWY
HOUSTON TX
77027-7108
US

V. Phone/Fax

Practice location:
  • Phone: 281-850-5325
  • Fax:
Mailing address:
  • Phone: 281-850-5325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateTX

VIII. Authorized Official

Name: AVERY OBLEPIAS
Title or Position: CEO
Credential:
Phone: 281-850-5325