NPIMap

Organization Active NPI

Medicor Healthcare, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Garland, TX
National Provider Identifier
1033538657
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0081934 Issued in TX
Legal business name
MEDICOR HEALTHCARE, INC.
Doing business as
Medicor Healthcare
Practice address
1731 Wall St
Suite 204
Garland, TX 75041-4061
Phone
(972) 926-7100
Fax
(972) 926-1700
NPI assigned
Apr 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Manuel Delgado Jr.
Title
President
Phone
97292637100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0081934 TX Primary

Addresses

Primary practice location

1731 Wall St
Suite 204
Garland, TX 75041-4061

Mailing address

1731 Wall St
Suite 204
Garland, TX 75041-4061
Phone (972) 926-7100

Other names 1

  • Medicor Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

1731 Wall St
Ste 204
Garland, TX 75041
Phone (972) 926-7100

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1033538657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 WALL ST",
            "address_2": "SUITE 204",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750414061",
            "telephone_number": "972-926-7100",
            "fax_number": "972-926-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 WALL ST",
            "address_2": "SUITE 204",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750414061",
            "telephone_number": "972-926-7100",
            "fax_number": "972-926-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICOR HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "97292637100",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0081934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicor Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.