804 Medical Supply Llc

LBN: 804 Medical Supply Llc
804 Medical Supply Llc is an health care organization with primary practice located at 11011 S Wilcrest Dr # G210 , Houston TX 77099-4347. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. 804 Medical Supply Llc can be contacted via phone (902) 608-6717, or through Wilson, Alex via phone (902) 608-6717.

Contact Information

Primary practice address
11011 S Wilcrest Dr # G210 Houston TX 77099-4347
Phone: (902) 608-6717
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Alex
Phone: (902) 608-6717

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X

Profile Details

NPI number 1285542720
LBN Legal business name 804 Medical Supply Llc
DBA Doing business as
Authorized official Wilson, Alex
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2026
Last updated Aug 27th, 2026 - about 2 months 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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