Physical Medicine & Rehabilitation
804 MEDICAL SUPPLY LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1285542720 · enumerated 2026-08-27 · record updated 2026-08-27. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: ALEX WILSON, Manager · (902) 608-6717
Addresses and phones
- Practice location 11011 S WILCREST DR # G210, HOUSTON, TX, 77099-4347 (902) 608-6717 Google Maps Apple Maps OpenStreetMap
- Mailing address 11011 S WILCREST DR # G210, HOUSTON, TX, 77099-4347 Google Maps Apple Maps OpenStreetMap
Specialties
- Orthopaedic Surgery 207X00000X
- Physical Medicine & Rehabilitation 208100000X · Primary
In this directory
Locations and evidence
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Practice location
HOUSTON, TX, 770994347
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.