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804 Medical Supply LLC

Physical Medicine & Rehabilitation Physician in Houston, TX · enumerated 2026 · authorized official Alex Wilson, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1285542720

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Registry record

Entity type Organization (Type 2)
Legal business name 804 Medical Supply LLC
Practice address 11011 S Wilcrest Dr # G210, Houston, TX, 77099
Phone (902) 608-6717
Enumeration date Aug 27, 2026
Last updated in NPPES Aug 27, 2026

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Alex Wilson
Title Manager
Phone (902) 608-6717

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for 804 Medical Supply LLC?
The NPI for 804 Medical Supply LLC is 1285542720, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for 804 Medical Supply LLC?
NPPES lists Alex Wilson (Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-08-27.