MEDICARE: HELP DOMESTIC MEDICAL SUPPLY

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	:	1700119278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELP DOMESTIC MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	6300 HILLCROFT ST STE 519
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-3009
Country	:	US
Telephone Number	:	713-541-2124
Fax Number	:

Provider Business Practice Location Address
First Line	:	6300 HILLCROFT ST STE 519
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-3009
Country	:	US
Telephone Number	:	713-541-2124
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CESAR FLORES GARDUNO
Credential	:
Telephone Number	:	713-541-2124

Provider Enumeration Date	:	09/15/2009
Last Update Date	:	09/15/2009

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Directions to “HELP DOMESTIC MEDICAL SUPPLY ” Practice Location

Language	Start Address	Practice Location

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