Sealy Medsup Group

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SEALY MEDSUP GROUP

Practice address

3137 N. Hwy 36
Suite 5
Sealy, TX 77474

Phone

(979) 885-1999

Fax

(713) 995-1806

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Olusoji Temidire Olusanya

Title

Ceo

Phone

(979) 885-1999

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184766032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3137 N. HWY 36",
            "address_2": "SUITE 5",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "77474",
            "telephone_number": "979-885-1999",
            "fax_number": "713-995-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 N. HWY 36",
            "address_2": "SUITE 5",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "77474",
            "telephone_number": "979-885-1999",
            "fax_number": "713-995-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEALY MEDSUP GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLUSANYA",
        "authorized_official_first_name": "OLUSOJI",
        "authorized_official_middle_name": "TEMIDIRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-885-1999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Sealy, TX
• Providers in Sealy, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• 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.