Memorial Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEMORIAL MEDICAL SUPPLY

Practice address

1009B Dairy Ashford St
Houston, TX 77079-4602

Phone

(281) 556-6565

Fax

(281) 556-6566

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Antonio M. Dotson

Title

Office Worker

Phone

(281) 556-6565

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497828636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009B DAIRY ASHFORD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794602",
            "telephone_number": "281-556-6565",
            "fax_number": "281-556-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009B DAIRY ASHFORD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794602",
            "telephone_number": "281-556-6565",
            "fax_number": "281-556-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE WORKER",
        "authorized_official_telephone_number": "281-556-6565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179681501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Memorial Long Care, Inc.
• Memorial Medical Associates PA
• Memorial Medical Center
• Memorial Medical Center
• Memorial Medical Staffing Services
• Memorial Medical Supply, Inc.
• Memorial Men'S Health, LP
• Memorial Modern Dentistry,PC
• Memorial MRI & Diagnostic, LLC
• Memorial MRI and Diagnostic LLC

• Durable Medical Equipment & Medical Supplies in Houston, TX
• Providers in Houston, 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 Jul 21, 2022; 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.