Healthcare Provider Details
I. General information
NPI: 1356873418
Provider Name (Legal Business Name): DUREQUIP SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/29/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
114 VISION PARK BLVD STE 102
SHENANDOAH TX
77384-3008
US
IV. Provider business mailing address
PO BOX 130517
SPRING TX
77393-0517
US
V. Phone/Fax
- Phone: 832-674-1662
- Fax: 832-674-1698
- Phone: 832-813-8280
- Fax: 800-500-2344
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEVE
ROPHAIL
Title or Position: MANAGING PARTNER
Credential:
Phone: 713-679-4487