M.D. Warehouse, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

M.D. WAREHOUSE, INC.

Practice address

4899 Montrose Blvd Apt 1903
Houston, TX 77006-6172

Phone

(281) 507-2156

Fax

(512) 899-2910

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Kelsey Glynn Shults, B.A.

Title

Administrator

Phone

(281) 507-2156

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710036660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161535",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787161535",
            "telephone_number": "281-507-2156",
            "fax_number": "512-899-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4899 MONTROSE BLVD APT 1903",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770066172",
            "telephone_number": "281-507-2156",
            "fax_number": "512-899-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.D. WAREHOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHULTS",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "GLYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-507-2156",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Houston, TX by specialty
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• 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.