MEDICARE: SULTAN MEDICAL SERVICES, 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	251E00000X	Home Health Agency	006599	TX

General Provider Information

NPI Number	:	1851358758
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SULTAN MEDICAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	10101 SOUTHWEST FWY
Second Line	:	STE 430
City	:	HOUSTON
State	:	TX
Zip	:	77074-1126
Country	:	US
Telephone Number	:	713-773-2000
Fax Number	:	713-773-9070

Provider Business Practice Location Address
First Line	:	10101 SOUTHWEST FWY
Second Line	:	STE 430
City	:	HOUSTON
State	:	TX
Zip	:	77074-1126
Country	:	US
Telephone Number	:	713-773-2000
Fax Number	:	713-773-9070

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. ERIC OKON
Credential	:
Telephone Number	:	713-773-2000

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	01/06/2012

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