MEDICARE: SHOFELA MESHIOYE

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	0106066	TX

General Provider Information

NPI Number	:	1356594501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHOFELA MESHIOYE

Provider Business Mailing Address
First Line	:	9900 WESTPARK DR STE 230
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-5286
Country	:	US
Telephone Number	:	713-834-4303
Fax Number	:	814-284-4303

Provider Business Practice Location Address
First Line	:	9900 WESTPARK DR STE 230
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-5286
Country	:	US
Telephone Number	:	713-834-4303
Fax Number	:	814-284-4303

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

Provider Enumeration Date	:	11/01/2008
Last Update Date	:	11/01/2008

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Directions to “ SHOFELA MESHIOYE ” Practice Location

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