Active NPI
Second Supply LLC
- Customized Equipment (DME)
- Houston, TX
National Provider Identifier
1679480354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- SECOND SUPPLY LLC
- Practice address
- 11011 S Wilcrest Dr # G210
Houston, TX 77099-4347 - Phone
- (929) 810-0502
- NPI assigned
- Aug 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Syed Mohsin
- Title
- Manager
- Phone
- (929) 810-0502
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
11011 S Wilcrest Dr # G210
Houston, TX 77099-4347
Mailing address
11011 S Wilcrest Dr # G210
Houston, TX 77099-4347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787702400000",
"number": "1679480354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11011 S WILCREST DR # G210",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770994347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11011 S WILCREST DR # G210",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770994347",
"telephone_number": "929-810-0502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SECOND SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A",
"authorized_official_last_name": "MOHSIN",
"authorized_official_first_name": "SYED",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "929-810-0502"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.