MEDICARE: SIMONE BALL

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
2	332B00000X	Durable Medical Equipment & Medical Supplies	0095136	TX

General Provider Information

NPI Number	:	1982728770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMONE BALL

Provider Business Mailing Address
First Line	:	9900 WESTPARK DR
Second Line	:	# 277
City	:	HOUSTON
State	:	TX
Zip	:	77063-5138
Country	:	US
Telephone Number	:	713-785-4063
Fax Number	:	713-785-4065

Provider Business Practice Location Address
First Line	:	9900 WESTPARK DR
Second Line	:	# 277
City	:	HOUSTON
State	:	TX
Zip	:	77063-5138
Country	:	US
Telephone Number	:	713-785-4063
Fax Number	:	713-785-4065

Authorized Official
Title or Position	:	CEO
Name	:	SIMONE BALL
Credential	:
Telephone Number	:	832-866-4706

Provider Enumeration Date	:	03/18/2007
Last Update Date	:	08/13/2008

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Directions to “SIMONE BALL ” Practice Location

Language	Start Address	Practice Location

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