MEDICARE: T & R MEDICAL SUPPLY

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	0087636	TX

General Provider Information

NPI Number	:	1083635296
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T & R MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	9310 MEADOW FORD CT
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-3797
Country	:	US
Telephone Number	:	281-441-3284
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 N SAM HOUSTON PKWY E
Second Line	:	SUITE 275
City	:	HOUSTON
State	:	TX
Zip	:	77060-4018
Country	:	US
Telephone Number	:	281-272-0218
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. TREMAYNE LAMONT RANDLE
Credential	:
Telephone Number	:	832-453-7573

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	08/22/2020

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Directions to “T & R MEDICAL SUPPLY ” Practice Location

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