Healthcare Provider Details

I. General information

NPI: 1154554897
Provider Name (Legal Business Name): PHRONESIS MEDICAL SUPPLY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2009
Last Update Date: 08/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S 9TH ST STE 103
RICHMOND TX
77469-3448
US

IV. Provider business mailing address

301 S 9TH ST STE 103
RICHMOND TX
77469-3448
US

V. Phone/Fax

Practice location:
  • Phone: 281-725-2536
  • Fax:
Mailing address:
  • Phone: 281-725-2536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ADESOJI O. DAIRO
Title or Position: DIRECTOR
Credential:
Phone: 281-725-2536