Stateserv Medical of Houston, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0032856 Issued in TX

Legal business name

STATESERV MEDICAL OF HOUSTON, LLC

Practice address

125 North Post Oak #190
Houston, TX 77055

Phone

(713) 688-0133

Fax

(713) 688-2870

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Christopher Roode Jr.

Title

Coo

Phone

(877) 633-7250

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1558415455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SOUTH ALMA SCHOOL RD",
            "address_2": "SUITE 4000",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "713-688-0133",
            "fax_number": "713-688-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NORTH POST OAK #190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77055",
            "telephone_number": "713-688-0133",
            "fax_number": "713-688-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESERV MEDICAL OF HOUSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "ROODE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "877-633-7250",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0032856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State Pharmacy & Infusion Center, LLC
• Kendrele Staten, DPT
• Lexie Kae Staten, MS, RD
• Statera Physical Therapy and Rehabilitation Clinic, PLLC
• States Health Inc.
• Kimberlea Ward Staton, M.D.
• Lori Staton
• Statscript
• Blake Nolan Staub, M.D.
• Douglas Martin Stauch, M.D.

• 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 Feb 22, 2024; 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.