MEDICARE: A & A 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700957446
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & A MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	6708 HILLCROFT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-4804
Country	:	US
Telephone Number	:	713-778-1886
Fax Number	:	713-778-1017

Provider Business Practice Location Address
First Line	:	6708 HILLCROFT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-4804
Country	:	US
Telephone Number	:	713-778-1886
Fax Number	:	713-778-1017

Authorized Official
Title or Position	:	OWNER
Name	:	ERNEST ULRICH
Credential	:
Telephone Number	:	713-778-1886

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	06/13/2008

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Directions to “A & A MEDICAL SUPPLY ” Practice Location

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