Organization Active NPI

Patrick Ita

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1013020965
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0065369 Issued in TX
Legal business name
PATRICK ITA
Practice address
6776 Southwest Fwy
Suite 270
Houston, TX 77074-2107
Phone
(713) 977-6100
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Patrick Ita
Title
Owner
Phone
(713) 977-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0065369 TX Primary

Addresses

Primary practice location

6776 Southwest Fwy
Suite 270
Houston, TX 77074-2107

Mailing address

6776 Southwest Fwy
Suite 270
Houston, TX 77074-2107
Phone (713) 977-6100

Other identifiers 2

IdentifierTypeStateIssuer
170327402MedicaidTX
170327401MedicaidTX

Other names 1

  • Masspoint Medical Equipment & Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

6776 Southwest Fwy
Ste 270
Houston, TX 77074
Phone (713) 977-6100

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1013020965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6776 SOUTHWEST FWY",
            "address_2": "SUITE 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742107",
            "telephone_number": "713-977-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6776 SOUTHWEST FWY",
            "address_2": "SUITE 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742107",
            "telephone_number": "713-977-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK ITA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ITA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-977-6100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0065369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170327402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170327401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Masspoint Medical Equipment & Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.