PVT Health Care & Medical Supply Services

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0092790 Issued in TX

Legal business name

PVT HEALTH CARE & MEDICAL SUPPLY SERVICES

Practice address

9207 Country Creek Dr Ste 106
Houston, TX 77036-7711

Phone

(713) 271-0339

NPI assigned

Jan 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gbenga Anthony FadipeNPI 1316094964

Title

Sole Owner

Phone

(713) 271-0339

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gbenga A Fadipe III

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
  • NPI 1316094964
  NPD (past) Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558416164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9207 COUNTRY CREEK DR STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367711",
            "telephone_number": "713-271-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9207 COUNTRY CREEK DR STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367711",
            "telephone_number": "713-271-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PVT HEALTH CARE & MEDICAL SUPPLY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FADIPE",
        "authorized_official_first_name": "GBENGA",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "713-271-0339",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0092790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 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.