Most Relevant Information
Provider Data
| NPI Number: | 1003653171 |
| Provider Name: | JERED KAINE CARAWAY CEO |
| Entity Type: | Individual |
| Taxonomy Code: | 332B00000X |
| Specialty: | Durable Medical Equipment & Medical Supplies |
| License Number: | 1003442 |
Most Important Dates
| Enumeration Date: | 07/15/2024 |
| Last Updated: | 07/15/2024 |
Provider Practice Location
8503 GULF FWY
HOUSTON
TX
770175086
Practice Location Phone/Fax
| Phone: | 7139067436 |
| Fax: | 7139559034 |
Provider Mailing Location
5823 VALKEITH DR
HOUSTON
TX
770964838
Provider Mailing Phone/Fax
| Phone: | 7139067436 |
| Fax: |