Healthcare Provider Details

I. General information

NPI: 1639669419
Provider Name (Legal Business Name): MEDICUS SURGICAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2018
Last Update Date: 01/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9450 PINECROFT DR UNIT 8584
SPRING TX
77387-6067
US

IV. Provider business mailing address

9450 PINECROFT DR UNIT 8584
SPRING TX
77387-6067
US

V. Phone/Fax

Practice location:
  • Phone: 800-898-8692
  • Fax: 800-898-8692
Mailing address:
  • Phone: 832-788-7283
  • Fax: 866-730-5515

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: MR. DAVID BARTCZAK
Title or Position: OWNER
Credential:
Phone: 800-898-8692