MEDICARE: XPLOSION TECHNOLOGY CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	133N00000X	Nutritionist
2	163W00000X	Registered Nurse
3	171M00000X	Case Manager/Care Coordinator
4	174H00000X	Health Educator
5	208D00000X	General Practice Physician
6	364S00000X	Clinical Nurse Specialist
7	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1699573733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XPLOSION TECHNOLOGY CORPORATION

Provider Business Mailing Address
First Line	:	1803 AMBASSADOR CT
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-3758
Country	:	US
Telephone Number	:	832-969-3686
Fax Number	:

Provider Business Practice Location Address
First Line	:	1803 AMBASSADOR CT
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-3758
Country	:	US
Telephone Number	:	832-969-3686
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	ISIS ASHFORD
Credential	:
Telephone Number	:	832-969-3686

Provider Enumeration Date	:	03/05/2025
Last Update Date	:	03/05/2025

Similar Medicare Providers

1982773271 — NEW FRONTIERS ICFMR
Practice Location Address:

1520 N DONALD AVE
OKLAHOMA CITY, OK
73127-3758

Practice Phone: 405-789-2262
Practice Fax:

1578871034 — WANDA FAYE TEMPLE
Practice Location Address:

1403 BRIDGES ST
MOREHEAD CITY, NC
28557-3758

Practice Phone: 252-726-6780
Practice Fax: 252-726-6780

1497056964 — REBECCA A LEWIS SANTTI LMT
Practice Location Address:

3758 MAPLE VIEW DR , #23
SALT LAKE CITY, UT
84106-1967

Practice Phone: 801-205-5964
Practice Fax:

1770886863 — IN TOUCH HOME CARE, LLC
Practice Location Address:

1403 BRIDGES ST
MOREHEAD CITY, NC
28557-3758

Practice Phone: 252-726-6780
Practice Fax: 866-786-0848

1093258956 — MR. BENNIE-JOHN MILAN PA-C
Practice Location Address:

8352 HAZELTINE AVE
PANORAMA CITY, CA
91402-3758

Practice Phone: 818-974-1915
Practice Fax:

1902745250 — RANDI BRANSON
Practice Location Address:

8570 SIENNA SPRINGS BLVD
MISSOURI CITY, TX
77459-7124

Practice Phone: 346-692-9485
Practice Fax:

Directions to “XPLOSION TECHNOLOGY CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.