Mission Medical Supply

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

MISSION MEDICAL SUPPLY

Practice address

10515 Bellaire Blvd
Suite M
Houston, TX 77072-5234

Phone

(281) 933-3902

Fax

(281) 933-3949

NPI assigned

Aug 31, 2011

Last updated

Mar 18, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

MISSION MEDICAL SUPPLYAs reported in NPPES

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

Authorized official

Name

Ms. Mimi DO

Title

Owner

Phone

(281) 933-3902

Specialties & licenses 1

Addresses

Part of

Mission Medical Supply

Locations

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1225319510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 BELLAIRE BLVD",
            "address_2": "SUITE M",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725234",
            "telephone_number": "281-933-3902",
            "fax_number": "281-933-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 BELLAIRE BLVD",
            "address_2": "SUITE M",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725234",
            "telephone_number": "281-933-3902",
            "fax_number": "281-933-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MEDICAL SUPPLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSION MEDICAL SUPPLY",
        "enumeration_date": "2011-08-31",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "MIMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-933-3902",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Achieve
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• Mission Dental P.a.
• Mission Dentistry Group
• Mission Diagnostics, LLC (A&M Health Care Services)
• Mission of Hope International Inc. (Mission of Hope Hospice & PAS)
• Alemseged Degefu Missonne, DDS
• Missonni Dental PLLC (Hobby Dental)
• Missouri Health Services Inc
• Michael Lawrence Mistric, NURSE PRACTITIONER

• Oxygen Equipment & Supplies (DME) in Houston, TX
• Providers in Houston, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.