Healthcare Provider Details

I. General information

NPI: 1932517091
Provider Name (Legal Business Name): DURAMED SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2014
Last Update Date: 08/24/2017
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 132888
SPRING TX
77393-2888
US

V. Phone/Fax

Practice location:
  • Phone: 281-691-2485
  • Fax: 832-442-5400
Mailing address:
  • Phone: 832-813-8280
  • Fax: 800-500-2344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: STEVE ROPHAIL
Title or Position: MANAGING PARTNER
Credential:
Phone: 713-679-4487