Healthcare Provider Details

I. General information

NPI: 1447255666
Provider Name (Legal Business Name): MED CHOICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 04/15/2020
Certification Date: 04/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8344 SPRING CYPRESS RD STE A-2
SPRING TX
77379-3127
US

IV. Provider business mailing address

8344 SPRING CYPRESS RD STE A-2
SPRING TX
77379-3127
US

V. Phone/Fax

Practice location:
  • Phone: 888-406-5990
  • Fax: 800-884-3010
Mailing address:
  • Phone: 888-406-5990
  • Fax: 800-884-3010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0034142
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number0034142
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number0034142
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0034142
License Number StateTX

VIII. Authorized Official

Name: DENISE MARIE FOSTER
Title or Position: VICE PRESIDENT
Credential:
Phone: 888-406-5990