MEDICARE: ONTARIO LIMITED 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	20092	TX
2	333600000X	Pharmacy	20092	TX
3	3336C0003X	Community/Retail Pharmacy	20092	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	017153001	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629064480
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONTARIO LIMITED INC.

Provider Business Mailing Address
First Line	:	6510 HILLCROFT AVE.
Second Line	:	SUITE 100
City	:	HOUSTON
State	:	TX
Zip	:	77081-3106
Country	:	US
Telephone Number	:	713-663-7800
Fax Number	:	713-490-0938

Provider Business Practice Location Address
First Line	:	6510 HILLCROFT ST
Second Line	:	SUITE 100
City	:	HOUSTON
State	:	TX
Zip	:	77081-4702
Country	:	US
Telephone Number	:	713-663-7800
Fax Number	:	713-490-0938

Authorized Official
Title or Position	:	DIRECTOR
Name	:	HAMID MOBLI
Credential	:	RPH
Telephone Number	:	713-663-7800

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	08/18/2023

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Directions to “ONTARIO LIMITED INC. ” Practice Location

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