MEDICARE: ACE MEDICAL SUPPLY, 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1235159765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACE MEDICAL SUPPLY, INC.

Provider Business Mailing Address
First Line	:	6500 NORTH FWY
Second Line	:	SUITE #113
City	:	HOUSTON
State	:	TX
Zip	:	77076-2941
Country	:	US
Telephone Number	:	713-694-0010
Fax Number	:	713-694-0288

Provider Business Practice Location Address
First Line	:	6500 NORTH FWY
Second Line	:	SUITE #113
City	:	HOUSTON
State	:	TX
Zip	:	77076-2941
Country	:	US
Telephone Number	:	713-694-0010
Fax Number	:	713-694-0288

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DAVID ANDRADE
Credential	:
Telephone Number	:	713-694-0010

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	02/27/2008

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