- Practice location
- 11011 S Wilcrest Dr # G210, Houston, TX 77099-4347
- Phone
- 902-608-6717
- Fax
- —
- Last updated
- August 27, 2026
804 Medical Supply LLC is a healthcare organization based in Houston, TX. 804 Medical Supply LLC practices in Houston, TX. The NPI Number for 804 Medical Supply LLC is 1790693232. The current practice location address for 804 Medical Supply LLC is 11011 S Wilcrest Dr # G210, Houston, TX 77099-4347 and can be reached out via phone at 902-608-6717.
Provider Profile Details
- NPI Number
- 1790693232
- Provider Name
- 804 Medical Supply LLC
- Provider Entity Type
- Organization
- Address
- 11011 S Wilcrest Dr # G210, Houston, TX 77099-4347
- Phone Number
- 902-608-6717
- Primary Taxonomy
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Organization Subpart
- No
- Authorized Official
- Alex Wilson · Manager · 902-608-6717
- Provider Enumeration Date
- August 27, 2026
- Last Update Date
- August 27, 2026
- Certification Date
- August 27, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11011 S Wilcrest Dr # G210
Houston, TX 77099-4347 - City
- Houston
- State
- Texas
- Zip
- 77099-4347
- Phone Number
- 902-608-6717
Provider Business Mailing Address Details
- Address
- 11011 S Wilcrest Dr # G210
Houston, TX 77099-4347 - City
- Houston
- State
- TX
- Zip
- 77099-4347
License Information
- Taxonomy
- Durable Medical Equipment & Medical Supplies · 332B00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 804 Medical Supply LLC?
The NPI number of 804 Medical Supply LLC is 1790693232. It was assigned on August 27, 2026 and is currently active in the NPPES registry.
What is the specialty of 804 Medical Supply LLC?
804 Medical Supply LLC is registered under the primary taxonomy Durable Medical Equipment & Medical Supplies (code 332B00000X).
Where does 804 Medical Supply LLC practice?
The practice location is 11011 S Wilcrest Dr # G210, Houston, TX 77099-4347. The office can be reached at 902-608-6717 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790693232 directly on the NPPES registry website.