South Post Oak Medical Supply LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SOUTH POST OAK MEDICAL SUPPLY LLC

Practice address

14206 S Post Oak Rd
Houston, TX 77045-5234

Phone

(713) 562-3195

NPI assigned

Apr 24, 2020

Last updated

Sep 3, 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

Charles Ahaiwe

Title

Ceo

Phone

(713) 562-3195

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1609496132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14215 S POST OAK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770455233",
            "telephone_number": "713-562-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14206 S POST OAK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770455234",
            "telephone_number": "713-562-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH POST OAK MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "AHAIWE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-562-3195"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Main Clinic Inc
• South Main Clinic, Inc
• South Main Medical Clinic
• South Main Surgery Alliance PLLC
• South Plains Renal Associates
• South Post Oak Pharmacy
• South Side ENT, PA
• South Texas Dental Associates, L.P.
• South Texas Dental Associates, L.P.
• South Texas Dental Associates, L.P.

• Customized Equipment (DME) in Houston, TX
• Providers in Houston, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.