MEDICARE: SAFEWAY MEDICAL CORPORATION

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	0031502	TX

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	:	1780785113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFEWAY MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	1212 WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-2613
Country	:	US
Telephone Number	:	713-807-9922
Fax Number	:	713-807-9924

Provider Business Practice Location Address
First Line	:	1212 WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-2613
Country	:	US
Telephone Number	:	713-807-9922
Fax Number	:	713-807-9924

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TERESA D MILLER
Credential	:
Telephone Number	:	713-807-9922

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	08/11/2021

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Directions to “SAFEWAY MEDICAL CORPORATION ” Practice Location

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