MEDICARE: DME CONSULTANTS OF HOUSTON, LLC

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	0085296	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0085296	OTHER	TX	STATE OF TEXAS LICENSE

General Provider Information

NPI Number	:	1316050768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DME CONSULTANTS OF HOUSTON, LLC

Provider Business Mailing Address
First Line	:	6 OFFICE PARK CIRCLE
Second Line	:	SUITE 206
City	:	BIRMINGHAM
State	:	AL
Zip	:	35223-2512
Country	:	US
Telephone Number	:	205-871-7294
Fax Number	:	205-871-7084

Provider Business Practice Location Address
First Line	:	4606 FM 1960 W
Second Line	:	#435
City	:	HOUSTON
State	:	TX
Zip	:	77069
Country	:	US
Telephone Number	:	205-871-7294
Fax Number	:	205-871-7084

Authorized Official
Title or Position	:	CHIEF OPERATIONS OFFICER
Name	:	MRS. STEPHANIE RAYE MILLER
Credential	:
Telephone Number	:	205-871-7294

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	05/26/2011

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