MEDICARE: DRIPOLOGY HOUSTON LLC

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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1770325805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRIPOLOGY HOUSTON LLC

Provider Business Mailing Address
First Line	:	24285 KATY FWY STE 300-456
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-1165
Country	:	US
Telephone Number	:	281-270-8331
Fax Number	:

Provider Business Practice Location Address
First Line	:	24285 KATY FWY STE 300-456
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-1165
Country	:	US
Telephone Number	:	281-270-8331
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	ROBERT FORREST
Credential	:	LICENSED PARAMEDIC
Telephone Number	:	281-270-8331

Provider Enumeration Date	:	06/10/2024
Last Update Date	:	06/15/2024

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Directions to “DRIPOLOGY HOUSTON LLC ” Practice Location

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