Chisom Medical Group LLC.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0089455 Issued in TX

Legal business name

CHISOM MEDICAL GROUP LLC.

Doing business as

Cy-Fair Medical Supply

Practice address

10511 Jones Rd
E
Houston, TX 77065-4291

Phone

(281) 469-2300

Fax

(281) 469-2315

NPI assigned

Aug 9, 2006

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

Sylvester Chukwuemeka Oguh

Title

President/Ceo

Phone

(601) 454-3878

Specialties & licenses 1

Addresses

Other names 1

• CY-FAIR MEDICAL SUPPLY Doing business as

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639189954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10511 JONES RD",
            "address_2": "E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654291",
            "telephone_number": "281-469-2300",
            "fax_number": "281-469-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 JONES RD",
            "address_2": "E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654291",
            "telephone_number": "281-469-2300",
            "fax_number": "281-469-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHISOM MEDICAL GROUP LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OGUH",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_middle_name": "CHUKWUEMEKA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "601-454-3878"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0089455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CY-FAIR MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chism Group, Inc (Direct Medical Inc)
• Charles Chism, M.D.
• Talia-Farrah Chism
• Olethia E. Chisolm, MD
• Chisom Ike (ChiChi Living Center)
• Mutinta Bettina Chisowa, MD
• Chistus Health
• Vida Chitsazzadeh, M.D. PH.D.
• Sasikala Chittimireddy, MD
• Dudley Chitty, 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 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.