Provider Demographics
NPI:1043358351
Name:SABA GROUP MEDICAL SUPPLY & HEALTH SERVICES
Entity type:Organization
Organization Name:SABA GROUP MEDICAL SUPPLY & HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAIWO
Authorized Official - Middle Name:ADEREMI
Authorized Official - Last Name:SABABAKARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-777-4348
Mailing Address - Street 1:9207 COUNTRY CREEK DR STE 205
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7711
Mailing Address - Country:US
Mailing Address - Phone:713-777-4348
Mailing Address - Fax:713-777-3212
Practice Address - Street 1:9207 COUNTRY CREEK DR STE 205
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7711
Practice Address - Country:US
Practice Address - Phone:713-777-4348
Practice Address - Fax:713-777-3212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0069182332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5822700001Medicare NSC