Provider Demographics
NPI:1144925918
Name:H&N MEDICAL SUPPLY LLC
Entity type:Organization
Organization Name:H&N MEDICAL SUPPLY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:BULLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-720-0205
Mailing Address - Street 1:411 LANTERN BEND DR STE 100B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2833
Mailing Address - Country:US
Mailing Address - Phone:833-256-2566
Mailing Address - Fax:346-603-6181
Practice Address - Street 1:411 LANTERN BEND DR STE 100B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2833
Practice Address - Country:US
Practice Address - Phone:833-256-2566
Practice Address - Fax:346-603-6181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No333600000XSuppliersPharmacy