MEDICARE: KTU HOMECARE INC

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	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1083884746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KTU HOMECARE INC

Provider Business Mailing Address
First Line	:	5904 AIRLINE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77076-4208
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5904 AIRLINE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77076-4208
Country	:	US
Telephone Number	:	832-633-1156
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. RUBY SAMUELS
Credential	:
Telephone Number	:	832-633-1156

Provider Enumeration Date	:	03/08/2008
Last Update Date	:	03/08/2008

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Directions to “KTU HOMECARE INC ” Practice Location

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