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NPI Code Detail

MEDICARE: MERC MEDICAL SUPPLY CO INC

MEDICARE: MERC MEDICAL SUPPLY CO 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1679577902
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERC MEDICAL SUPPLY CO INC
Provider Business Mailing Address
First Line : 10518 KIPP WAY STE D
Second Line :
City : HOUSTON
State : TX
Zip : 77099-2400
Country : US
Telephone Number : 713-270-4936
Fax Number : 713-270-0343
Provider Business Practice Location Address
First Line : 10518 KIPP WAY DR
Second Line : UNIT D
City : HOUSTON
State : TX
Zip : 77099-2400
Country : US
Telephone Number : 713-270-4936
Fax Number : 713-270-0343
Authorized Official
Title or Position : VP
Name : MRS. JOSEFINA LISING
Credential :
Telephone Number : 713-270-4936
Provider Enumeration Date : 06/01/2005
Last Update Date : 02/18/2011

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Directions to “MERC MEDICAL SUPPLY CO INC ” Practice Location

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