MEDICARE: MEDICAL PLUS SUPPLIES, 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
1	332B00000X	Durable Medical Equipment & Medical Supplies	100375	TX

General Provider Information

NPI Number	:	1710288170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL PLUS SUPPLIES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 84110
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-0018
Country	:	US
Telephone Number	:	713-440-6700
Fax Number	:	866-867-7395

Provider Business Practice Location Address
First Line	:	2600 N STEMMONS FWY
Second Line	:	SUITE 160
City	:	DALLAS
State	:	TX
Zip	:	75207-2113
Country	:	US
Telephone Number	:	713-440-6700
Fax Number	:

Authorized Official
Title or Position	:	VP
Name	:	ESTEBAN RODRIGUEZ JR.
Credential	:
Telephone Number	:	713-440-6700

Provider Enumeration Date	:	11/16/2010
Last Update Date	:	11/16/2010

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