Healthcare Provider Details

I. General information

NPI: 1457299182
Provider Name (Legal Business Name): COMLAN ESSENAME ASSIGNON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2273 GARDEN SQUARE PATH
SPRING TX
77386-1037
US

IV. Provider business mailing address

2273 GARDEN SQUARE PATH
SPRING TX
77386-1037
US

V. Phone/Fax

Practice location:
  • Phone: 469-903-2438
  • Fax: 469-726-3740
Mailing address:
  • Phone: 469-903-2438
  • Fax: 469-726-3740

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:
Title or Position:
Credential:
Phone: