MEDICARE: MEDICAL PLUS SUPPLIES INC

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	0033221	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	087340801	OTHER	TX	CCP

General Provider Information

NPI Number	:	1528037538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL PLUS SUPPLIES INC

Provider Business Mailing Address
First Line	:	PO BOX 84110
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-0018
Country	:	US
Telephone Number	:	800-298-3948
Fax Number	:	186-686-7739

Provider Business Practice Location Address
First Line	:	4025 W FUQUA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-6303
Country	:	US
Telephone Number	:	800-298-3948
Fax Number	:	866-867-7395

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ESTEBAN VICTOR RODRIGUEZ
Credential	:
Telephone Number	:	713-440-6700

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	03/19/2015

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Directions to “MEDICAL PLUS SUPPLIES INC ” Practice Location

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