Active NPI
Patrick Ita
- Durable Medical Equipment & Medical Supplies
- Houston, TX
National Provider Identifier
1013020965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0065369
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170327402 | Medicaid | TX | |
| 170327401 | Medicaid | TX |
Other names 1
- Masspoint Medical Equipment & Supplies
National Provider Directory
National Provider DirectoryLocations
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.