MEDICARE: RUAMA CAMP

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	:	1699651810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUAMA CAMP

Provider Business Mailing Address
First Line	:	4931 MARIETTA LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-2925
Country	:	US
Telephone Number	:	832-642-1554
Fax Number	:

Provider Business Practice Location Address
First Line	:	4931 MARIETTA LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-2925
Country	:	US
Telephone Number	:	832-642-1554
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	08/13/2025

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Directions to “ RUAMA CAMP ” Practice Location

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