=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124440193
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DRM MED TEC SOLUTIONS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/10/2014
-----------------------------------------------------
Last Update Date | 01/10/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 22826 PARKWALK LN
-----------------------------------------------------
City | KATY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77494-4450
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-788-6134
-----------------------------------------------------
Fax | 281-392-5755
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 22826 PARKWALK LN
-----------------------------------------------------
City | KATY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77494-4450
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-788-6134
-----------------------------------------------------
Fax | 281-392-5755
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MRS. DIANE MORRISON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 281-788-6134
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------