Active NPI
American General Merchants Inc.
Doing business as American General Medical Supply
- Durable Medical Equipment & Medical Supplies
- Mesquite, TX
National Provider Identifier
1023529690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- AMERICAN GENERAL MERCHANTS INC.
- Doing business as
- American General Medical Supply
- Practice address
- 3213 Interstate 30 Ste 108
Mesquite, TX 75150-2603 - Phone
- (972) 270-0500
- Fax
- (972) 674-2944
- NPI assigned
- Oct 23, 2017
- Last updated
- Apr 22, 2020
- 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
- Mr. Idris Elija Salia
- Title
- President
- Phone
- (214) 415-5554
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Dialysis Equipment & Supplies (DME) | 332BD1200X |
Addresses
Primary practice location
3213 Interstate 30 Ste 108
Mesquite, TX 75150-2603
Mailing address
3213 Interstate 30 Ste 108
Mesquite, TX 75150-2603
Phone (972) 270-0500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002022 | Other | TX | TEXAS DEVICE DISTRIBUTOR LICENSE |
| 3925968 | Medicaid | TX |
Other names 1
- AMERICAN GENERAL MEDICAL SUPPLY
National Provider Directory
National Provider DirectoryLocations
3213 Interstate 30
Ste 410
Mesquite, TX 75150
Phone (469) 558-8239
3213 Interstate 30
Ste 108
Mesquite, TX 75150
Phone (972) 270-0500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587513600000",
"number": "1023529690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3213 INTERSTATE 30 STE 108",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751502603",
"telephone_number": "972-270-0500",
"fax_number": "972-674-2944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3213 INTERSTATE 30 STE 108",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751502603",
"telephone_number": "972-270-0500",
"fax_number": "972-674-2944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN GENERAL MERCHANTS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-23",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A",
"authorized_official_last_name": "SALIA",
"authorized_official_first_name": "IDRIS",
"authorized_official_middle_name": "ELIJA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-415-5554",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DEVICE DISTRIBUTOR LICENSE",
"identifier": "1002022",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3925968",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AMERICAN GENERAL MEDICAL SUPPLY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesquite, TX
- Ambazone Home Health LLC
- America's Best Contacts & Eyeglasses
- American Chiropractic Clinic
- American Current Care P.a. (Concentra Urgent Care)
- American Current Care, P.a. (Concentra Urgent Care)
- American Health Care Concepts, Inc (JK Home Health Service)
- American Integrated Healthcare PLLC
- American Multispecialty Care PLLC
- American Specialty Diagnostics Inc
- Amerismiles Dental of Mesquite PLLC (Amerismiles Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.