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General NPI Number Information
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NPI Number | 1962400358
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Entity Type | Organization
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Legal Business Name | ALLIED REHAB & MEDICAL SUPPLY
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 01/18/2011
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Provider Practice Location Address
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Address Line | 6065 HILLCROFT ST SUITE304
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City | HOUSTON
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State | TX
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Zip | 77081-1087
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Country | US
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Telephone | 713-884-7584
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Fax |
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Provider Business Mailing Address
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Address Line | 11045 LANDSWALK DR #109
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City | HOUSTON
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State | TX
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Zip | 77099-3450
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Country | US
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Telephone | 713-884-7584
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. CORNELIUS EJIKE IKE
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Credential |
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Telephone | 713-884-7584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | B334278
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License Number State | TX
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