Medical Center Surgical Shop

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0075417 Issued in TX

Legal business name

MEDICAL CENTER SURGICAL SHOP

Practice address

5313 Bellaire Blvd
Bellaire, TX 77401-3903

Phone

(713) 666-9022

Fax

(713) 666-9386

NPI assigned

Mar 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Icenhower

Title

Owner

Phone

(713) 666-9022

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851368997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5313 BELLAIRE BLVD",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013903",
            "telephone_number": "713-666-9022",
            "fax_number": "713-666-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5313 BELLAIRE BLVD",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013903",
            "telephone_number": "713-666-9022",
            "fax_number": "713-666-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER SURGICAL SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ICENHOWER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-666-9022",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0075417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste F Mead, OT
• Lori Ann Meadors, PA-C
• Jennifer Mebane, S.L.P.
• Medagene Clinic PA
• Medcheck TDM, LLC
• Medical Clinic of Bellaire PA
• Medical Telepresence PA
• Medimetro, PLLC
• Kathryn Kirsten Medina, COTA
• Medley Compounding Pharmacy, LLC

• Durable Medical Equipment & Medical Supplies in Bellaire, TX
• Providers in Bellaire, 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.