Provider Demographics
NPI:1447627393
Name:ICS LOGIX,INC.
Entity type:Organization
Organization Name:ICS LOGIX,INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TARIQ
Authorized Official - Middle Name:
Authorized Official - Last Name:AKBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-305-0025
Mailing Address - Street 1:11000 STANCLIFF RD
Mailing Address - Street 2:STE ' 100 '
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-4252
Mailing Address - Country:US
Mailing Address - Phone:281-305-0025
Mailing Address - Fax:281-258-4778
Practice Address - Street 1:11000 STANCLIFF RD
Practice Address - Street 2:STE ' 100 '
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-4252
Practice Address - Country:US
Practice Address - Phone:281-305-0025
Practice Address - Fax:281-258-4778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-26
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies