MEDICARE: MEDICUS SURGICAL SOLUTIONS 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	534694	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1639669419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICUS SURGICAL SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	9450 PINECROFT DR UNIT 8584
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77387-6067
Country	:	US
Telephone Number	:	832-788-7283
Fax Number	:	866-730-5515

Provider Business Practice Location Address
First Line	:	9450 PINECROFT DR UNIT 8584
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77387-6067
Country	:	US
Telephone Number	:	800-898-8692
Fax Number	:	800-898-8692

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DAVID BARTCZAK
Credential	:
Telephone Number	:	800-898-8692

Provider Enumeration Date	:	05/16/2018
Last Update Date	:	01/08/2019

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Directions to “MEDICUS SURGICAL SOLUTIONS LLC ” Practice Location

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