Provider Demographics
NPI:1871762195
Name:1ST CHOICE MEDICAL EQUIPMENT
Entity type:Organization
Organization Name:1ST CHOICE MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:QUINTEROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-589-5306
Mailing Address - Street 1:16903 RED OAK DR
Mailing Address - Street 2:STE. 162
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3914
Mailing Address - Country:US
Mailing Address - Phone:713-589-5306
Mailing Address - Fax:832-533-2160
Practice Address - Street 1:16903 RED OAK DR
Practice Address - Street 2:STE. 162
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3914
Practice Address - Country:US
Practice Address - Phone:713-589-5306
Practice Address - Fax:832-533-2160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101666332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies