MEDICARE: ALFA MEDICAL SUPPLIES

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		TX

General Provider Information

NPI Number	:	1477621381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALFA MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	10101 FONDREN RD
Second Line	:	SUITE #350
City	:	HOUSTON
State	:	TX
Zip	:	77096-4564
Country	:	US
Telephone Number	:	713-995-5044
Fax Number	:	713-995-5045

Provider Business Practice Location Address
First Line	:	10101 FONDREN RD
Second Line	:	SUITE #350
City	:	HOUSTON
State	:	TX
Zip	:	77096-4564
Country	:	US
Telephone Number	:	713-995-5044
Fax Number	:	713-995-5045

Authorized Official
Title or Position	:	SECRETARY
Name	:	NICK N LATIF
Credential	:
Telephone Number	:	713-995-5044

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	06/13/2008

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Directions to “ALFA MEDICAL SUPPLIES ” Practice Location

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