Houston Advance Medline Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HOUSTON ADVANCE MEDLINE MEDICAL SUPPLY

Practice address

10103 Fondren Rd
Ste 491
Houston, TX 77096-4556

Phone

(713) 772-1109

Fax

(713) 271-7744

NPI assigned

Jun 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emmanuel Michael Lord

Title

Adminitrator

Phone

(713) 772-1109

Specialties & licenses 1

Addresses

Other names 1

• houston advance medline medical supply Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013110758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 FONDREN RD",
            "address_2": "STE 491",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964556",
            "telephone_number": "713-772-1109",
            "fax_number": "713-271-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 FONDREN RD",
            "address_2": "STE 491",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964556",
            "telephone_number": "713-772-1109",
            "fax_number": "713-271-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON ADVANCE MEDLINE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LORD",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINITRATOR",
        "authorized_official_telephone_number": "713-772-1109"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "houston advance medline medical supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.