1477768554 NPI number — MONITOR MEDICAL, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477768554 NPI number — MONITOR MEDICAL, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MONITOR MEDICAL, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477768554
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/19/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12999 JESS PIRTLE BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUGAR LAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77478-2851
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-240-2222
Provider Business Mailing Address Fax Number:
281-240-1164

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16876 ROYAL CREST DR # 150
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77058-2529
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-338-9091
Provider Business Practice Location Address Fax Number:
281-240-1164
Provider Enumeration Date:
05/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WEBB
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
E
Authorized Official Title or Position:
DIRECTOR OF FINANCE
Authorized Official Telephone Number:
281-240-7222

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  0083805 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1959470-02 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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