MEDICARE: COMLAN ESSENAME ASSIGNON

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	:	1457299182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COMLAN ESSENAME ASSIGNON

Provider Business Mailing Address
First Line	:	2273 GARDEN SQUARE PATH
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-1037
Country	:	US
Telephone Number	:	469-903-2438
Fax Number	:	469-726-3740

Provider Business Practice Location Address
First Line	:	2273 GARDEN SQUARE PATH
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-1037
Country	:	US
Telephone Number	:	469-903-2438
Fax Number	:	469-726-3740

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

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “ COMLAN ESSENAME ASSIGNON ” Practice Location

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