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

General Provider Information

NPI Number	:	1639681968
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	:	888-331-4002

Provider Business Practice Location Address
First Line	:	2896 BLANCO RD STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-1811
Country	:	US
Telephone Number	:	800-298-3948
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ESTEBAN RODRIGUEZ
Credential	:
Telephone Number	:	800-298-3948

Provider Enumeration Date	:	10/26/2017
Last Update Date	:	10/26/2017

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