MEDICARE: KEELEEY MEDLOW

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	:	1336373125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEELEEY MEDLOW

Provider Business Mailing Address
First Line	:	2440 TEXAS PKWY STE 228
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-4023
Country	:	US
Telephone Number	:	832-754-7240
Fax Number	:

Provider Business Practice Location Address
First Line	:	2440 TEXAS PKWY STE 228
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-4023
Country	:	US
Telephone Number	:	832-754-7240
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2009
Last Update Date	:	05/07/2009

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Directions to “ KEELEEY MEDLOW ” Practice Location

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