De Divine Connection Medical Supply Inc

LBN: De Divine Connection Medical Supply Inc
De Divine Connection Medical Supply Inc is an health care organization with primary practice located at 10200 W Airport Blvd Ste 110 , Stafford TX 77477-3333. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. De Divine Connection Medical Supply Inc can be contacted via phone (281) 933-9172, or through Atuchi, Anthony via phone (281) 933-9162.

Contact Information

Primary practice address
10200 W Airport Blvd Ste 110 Stafford TX 77477-3333
Phone: (281) 933-9172
Fax: (281) 933-9172
Website:
Map and Directions
Authorized official contact:
Name: Atuchi, Anthony
Phone: (281) 933-9162

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 332B00000X Texas

Profile Details

NPI number 1740479369
LBN Legal business name De Divine Connection Medical Supply Inc
DBA Doing business as
Authorized official Atuchi, Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2007
Last updated Feb 8th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740479369 NPPES
Texas MEDICAID 191543101

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