Healthcare Provider Details

I. General information

NPI: 1427271683
Provider Name (Legal Business Name): MONITOR MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 07/07/2021
Certification Date: 07/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 W 15TH ST #102
PLANO TX
75093
US

IV. Provider business mailing address

12999 JESS PIRTLE BLVD
SUGAR LAND TX
77478-2851
US

V. Phone/Fax

Practice location:
  • Phone: 972-612-4600
  • Fax: 281-240-2383
Mailing address:
  • Phone: 281-240-7222
  • Fax: 281-240-1164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0092019
License Number StateTX

VIII. Authorized Official

Name: MR. RICHARD WEBB
Title or Position: CEO
Credential: RRT,RCP
Phone: 281-240-7222