MEDICARE: CALVARY CENTER

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	32037909085	TX

General Provider Information

NPI Number	:	1184864142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALVARY CENTER

Provider Business Mailing Address
First Line	:	6223 RICHMOND AVE STE 221
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-6264
Country	:	US
Telephone Number	:	713-777-7012
Fax Number	:

Provider Business Practice Location Address
First Line	:	6223 RICHMOND AVE STE 221
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-6264
Country	:	US
Telephone Number	:	713-777-7012
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. MARY RISCHER
Credential	:
Telephone Number	:	832-287-9984

Provider Enumeration Date	:	03/03/2009
Last Update Date	:	12/29/2009

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Directions to “CALVARY CENTER ” Practice Location

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