Provider Demographics
NPI:1447060512
Name:MEDFUSION SUPPLIES INC
Entity type:Organization
Organization Name:MEDFUSION SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:KHALIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAFIQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-750-4858
Mailing Address - Street 1:7801 N CAPITAL OF TEXAS HWY STE 386
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1169
Mailing Address - Country:US
Mailing Address - Phone:512-375-3493
Mailing Address - Fax:512-375-3492
Practice Address - Street 1:7801 N CAPITAL OF TEXAS HWY STE 386
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1169
Practice Address - Country:US
Practice Address - Phone:512-375-3493
Practice Address - Fax:512-375-3492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies