MEDICARE: ABRAHAM'S MEDICAL SUPPLIES & EQUIPMENT SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1003931130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABRAHAM'S MEDICAL SUPPLIES & EQUIPMENT SERVICES

Provider Business Mailing Address
First Line	:	4711 JACKSON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-5037
Country	:	US
Telephone Number	:	713-523-4348
Fax Number	:	713-523-4348

Provider Business Practice Location Address
First Line	:	6610 HARWIN DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-2232
Country	:	US
Telephone Number	:	713-334-9973
Fax Number	:	713-523-4348

Authorized Official
Title or Position	:	PARTNER
Name	:	PASTOR EVA D. MCHENRY
Credential	:
Telephone Number	:	713-523-4348

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	06/13/2008

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