Active Lifestyle Products

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0081833 Issued in TX

Legal business name

ACTIVE LIFESTYLE PRODUCTS

Practice address

1 Spyglass CT
Houston, TX 77064-4060

Phone

(832) 746-7370

Fax

(281) 897-0500

NPI assigned

May 3, 2006

Last updated

Jun 16, 2008By 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

Mr. Ioannis Xideris

Title

President

Phone

(281) 897-0500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1760440069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 KATY FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792204",
            "telephone_number": "281-897-0500",
            "fax_number": "281-897-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SPYGLASS CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770644060",
            "telephone_number": "832-746-7370",
            "fax_number": "281-897-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFESTYLE PRODUCTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "XIDERIS",
        "authorized_official_first_name": "IOANNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-897-0500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0081833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jun 16, 2008; 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.