La Base Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1000491 Issued in TX

Legal business name

LA BASE MEDICAL SUPPLY

Practice address

9302 Eaglewood Glen TRL
Houston, TX 77083-6285

Phone

(713) 518-9360

Fax

(281) 302-6897

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Callistus Ezeakor

Title

Owner

Phone

(713) 518-9360

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1629406756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 HIGHWAY 6 S # 367",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770833319",
            "telephone_number": "713-518-9360",
            "fax_number": "281-302-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9302 EAGLEWOOD GLEN TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836285",
            "telephone_number": "713-518-9360",
            "fax_number": "281-302-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA BASE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "EZEAKOR",
        "authorized_official_first_name": "CALLISTUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-518-9360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• La Clinica Y Mas, Inc
• Maria Jacinta La Cruz Rondon, MD

• 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 Oct 29, 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.