Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MEDVANTA MEDICAL SUPPLIES
NPI 1104722594
Durable Medical Equipment & Medical Supplies - Customized Equipment in Houston, TX

Active since October 14, 2026
15550 KINGFIELD DR, HOUSTON, TX 77084(515) 565-0276 Get Directions Write a Review

NPPES record added: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Medvanta Medical Supplies NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDVANTA MEDICAL SUPPLIES (NPI 1104722594) is a healthcare organization registered as a customized equipment in Houston, Texas and active in the NPI registry since October 2026. The organization lists Michael Angelos, Manager, as its authorized official.

NPPES Registry Identity

NPI1104722594
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameMEDVANTA MEDICAL SUPPLIES
Location Address15550 KINGFIELD DRHouston, TX 77084-6200
Mailing Address5900 Balcones DrAustin, TX 78731-4257 · (515) 565-0276
Organization SubpartNo
Authorized OfficialMichael AngelosManager · (515) 565-0276
Enumeration DateOctober 14, 2026
NPPES CertifiedOctober 14, 2026
✔ NPI 1104722594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code332BC3200X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
15550 KINGFIELD DR, Houston, TX 77084

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies (Customized Equipment)
15550 KINGFIELD DR
HOUSTON, TX 77084
Durable Medical Equipment & Medical Supplies
15550 KINGFIELD DR, APT 1204
HOUSTON, TX 77084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medvanta Medical Supplies's NPI number?

The NPI number for Medvanta Medical Supplies is 1104722594. It was assigned to this organization in the NPPES registry on October 14, 2026.

Where is Medvanta Medical Supplies located?

Medvanta Medical Supplies is located at 15550 Kingfield Dr, Houston, TX 77084. The listed phone number is (515) 565-0276.

What is Medvanta Medical Supplies's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Medvanta Medical Supplies was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.