Stafford Medical Supply Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

STAFFORD MEDICAL SUPPLY INC

Practice address

4645 Highway 90a
Stafford, TX 77477-4726

Phone

(281) 277-0452

Fax

(281) 277-0453

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Albert Iwobi

Title

President

Phone

(281) 277-0452

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1124245105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 HIGHWAY 90A",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774726",
            "telephone_number": "281-277-0452",
            "fax_number": "281-277-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 HIGHWAY 90A",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774726",
            "telephone_number": "281-277-0452",
            "fax_number": "281-277-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "IWOBI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-277-0452",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stafford Family Practice PLLC
• Stafford Fire Department
• Stafford Genetics Inc
• Stafford Medical & Med Spa, PLLC
• Stafford Medical Clinic Occcupation and Urgent Care
• Stafford Municipal School District
• Stafford Pharmacy
• Stafford Pharmacy & DME LLC
• Stafford Pharmacy & DME LLC
• Stafford Renal

• Customized Equipment (DME) in Stafford, TX
• Providers in Stafford, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.