Provider Demographics
NPI:1538445010
Name:MVP MEDICAL SUPPLY COMPANY
Entity type:Organization
Organization Name:MVP MEDICAL SUPPLY COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FLOYD
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:SWOOPES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-773-4687
Mailing Address - Street 1:10764 S GESSNER DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-3509
Mailing Address - Country:US
Mailing Address - Phone:713-773-4687
Mailing Address - Fax:713-773-1687
Practice Address - Street 1:10764 S GESSNER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-3509
Practice Address - Country:US
Practice Address - Phone:713-773-4687
Practice Address - Fax:713-773-1687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000558332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6584530001Medicare NSC