Organization Name: | SHJD EVOLUTION MEDICAL SOLUTIONS LLC |
NPI Number: | 1225336860 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SEBASTIAN HERRERA (OWNER) |
Mailing Address: | 9659 N Sam Houston Pkwy E Suite 150 # 234 Humble |
State: | TX US |
Postal Code: | 773961529 |
Phone Number: | 8327547692 |
Fax Number: | 8324425881 |
NPI Enumeration Date: | 03/07/2011 |
NPI Last Update Date: | 03/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |