MEDICARE: PRIMECARE SUPPLIES LLC

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	:	1538957675
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMECARE SUPPLIES LLC

Provider Business Mailing Address
First Line	:	14405 RIO BONITO RD APT 382
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-1556
Country	:	US
Telephone Number	:	346-675-4212
Fax Number	:

Provider Business Practice Location Address
First Line	:	14405 RIO BONITO RD APT 382
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-1556
Country	:	US
Telephone Number	:	565-656-5656
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ABDUL SAMEE
Credential	:
Telephone Number	:	346-675-4212

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	01/19/2026

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Directions to “PRIMECARE SUPPLIES LLC ” Practice Location

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