MEDICARE: BEAR NECESSITIES

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	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1386022135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEAR NECESSITIES

Provider Business Mailing Address
First Line	:	14405 WALTERS RD
Second Line	:	STE. 801
City	:	HOUSTON
State	:	TX
Zip	:	77014-1337
Country	:	US
Telephone Number	:	281-919-1024
Fax Number	:	281-919-1790

Provider Business Practice Location Address
First Line	:	14405 WALTERS RD
Second Line	:	STE. 801
City	:	HOUSTON
State	:	TX
Zip	:	77014-1337
Country	:	US
Telephone Number	:	281-919-1024
Fax Number	:	281-919-1790

Authorized Official
Title or Position	:	OWNER
Name	:	TRISTA JASON
Credential	:
Telephone Number	:	832-978-4578

Provider Enumeration Date	:	05/13/2015
Last Update Date	:	05/13/2015

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Directions to “BEAR NECESSITIES ” Practice Location

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