Envision Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0094034 Issued in TX

Legal business name

ENVISION MEDICAL SUPPLY INC

Practice address

777 S Central Expy
Suite 6D
Richardson, TX 75080-7411

Phone

(972) 437-4199

NPI assigned

Feb 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chinasa Madumere

Title

President

Phone

(972) 437-4199

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1003085242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S CENTRAL EXPY",
            "address_2": "SUITE 6D",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807411",
            "telephone_number": "972-437-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S CENTRAL EXPY",
            "address_2": "SUITE 6D",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807411",
            "telephone_number": "972-437-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "MADUMERE",
        "authorized_official_first_name": "CHINASA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-437-4199"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0094034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Epiq Scripts LLC
• Erica Pouncie LPC, LLC

• Durable Medical Equipment & Medical Supplies in Richardson, TX
• Providers in Richardson, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.