MEDICARE: A HUG AWAY MEDICAL SUPPLIES

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	208000000X	Pediatrics Physician
2	252Y00000X	Early Intervention Provider Agency
3	253Z00000X	In Home Supportive Care Agency
4	261QC1500X	Community Health Clinic/Center
5	261QP0904X	Federal Public Health Clinic/Center
6	261QP2400X	Prison Health Clinic/Center
7	332BD1200X	Dialysis Equipment & Supplies (DME)
8	332BN1400X	Nursing Facility Supplies (DME)	1000197	TX
9	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
10	332BX2000X	Oxygen Equipment & Supplies (DME)
11	332S00000X	Hearing Aid Equipment
12	333300000X	Emergency Response System Companies
13	335G00000X	Medical Foods Supplier
14	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
15	332B00000X	Durable Medical Equipment & Medical Supplies	1000197	TX

General Provider Information

NPI Number	:	1972734762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A HUG AWAY MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	1203 AVENUE D
Second Line	:	SUITE B
City	:	KATY
State	:	TX
Zip	:	77493-1952
Country	:	US
Telephone Number	:	281-391-2484
Fax Number	:	281-605-1307

Provider Business Practice Location Address
First Line	:	1203 AVENUE D
Second Line	:	AVENUE D
City	:	KATY
State	:	TX
Zip	:	77493-1952
Country	:	US
Telephone Number	:	281-391-2484
Fax Number	:	281-605-1307

Authorized Official
Title or Position	:	MANAGER
Name	:	TIKISHA WILLIAMS
Credential	:
Telephone Number	:	281-391-2484

Provider Enumeration Date	:	07/28/2009
Last Update Date	:	01/10/2024

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