MEDICARE: LEONARD GICHANGI IRERI

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	1001602	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	760243001	OTHER		MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	534476	OTHER	TX	BCBS
3	1001602	OTHER	TX	TEXAS DME LICENSE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174991160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEONARD GICHANGI IRERI

Provider Business Mailing Address
First Line	:	PO BOX 890372
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77289-0372
Country	:	US
Telephone Number	:	281-741-4067
Fax Number	:	832-201-8772

Provider Business Practice Location Address
First Line	:	10951 SCARSDALE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6033
Country	:	US
Telephone Number	:	281-741-4067
Fax Number	:	832-201-8772

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	MR. LEONARD GICHANGI IRERI
Credential	:
Telephone Number	:	832-224-4784

Provider Enumeration Date	:	09/08/2015
Last Update Date	:	07/26/2019

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Directions to “LEONARD GICHANGI IRERI ” Practice Location

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