Healthcare Provider Details

I. General information

NPI: 1891443701
Provider Name (Legal Business Name): H-TOWN MEDICAL SUPPLIES & EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2022
Last Update Date: 03/10/2022
Certification Date: 03/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19511 WIED RD STE C
SPRING TX
77388-4589
US

IV. Provider business mailing address

8006 SINFONIA DR
HOUSTON TX
77040-7003
US

V. Phone/Fax

Practice location:
  • Phone: 346-382-3016
  • Fax:
Mailing address:
  • Phone: 832-971-7291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. PHILLIP BROWN
Title or Position: DIRECTOR
Credential:
Phone: 832-971-7291