Individual provider · Type 1 NPI
Goriola Tony Shotomiwa
Parenteral & Enteral Nutrition Supplies (DME) · Houston, TX
NPI number
1629314489
Active
Practice location
6814 Stableton Ln
Houston, TX 77049-2054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 36239122 (TX) |
| Parenteral & Enteral Nutrition Supplies (DME) Primary | 332BP3500X | 36239122 (TX) |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 36239122 (TX) |
Parenteral & Enteral Nutrition Supplies (DME): Definition to come...
Another provider at this address
Other parenteral & enteral nutrition supplies (dme) providers in Houston
About NPI 1629314489
Goriola Tony Shotomiwa's National Provider Identifier is 1629314489, issued on Dec 26, 2012. The primary taxonomy on file is Parenteral & Enteral Nutrition Supplies (DME) (332BP3500X), and the practice location is in Houston, TX. The record was last updated on Dec 26, 2012.