MEDICARE: KOKOU PIERRE MESSANH

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	3-20385-7849-1	TX

General Provider Information

NPI Number	:	1124269352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KOKOU PIERRE MESSANH

Provider Business Mailing Address
First Line	:	10101 FONDREN RD STE 253
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-4844
Country	:	US
Telephone Number	:	713-589-2779
Fax Number	:	713-429-5202

Provider Business Practice Location Address
First Line	:	10101 FONDREN RD STE 253
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-4844
Country	:	US
Telephone Number	:	713-589-2779
Fax Number	:	713-429-5202

Authorized Official
Title or Position	:	OWNER
Name	:	MR. KOKOU PIERRE MESSANH
Credential	:	ADMINISTRATOR
Telephone Number	:	713-589-2779

Provider Enumeration Date	:	03/18/2009
Last Update Date	:	04/28/2011

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Directions to “KOKOU PIERRE MESSANH ” Practice Location

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