Active NPI
Marlon Orlando Boquin
- Durable Medical Equipment & Medical Supplies
- Houston, TX
National Provider Identifier
1053478438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0056491
- Legal business name
- MARLON ORLANDO BOQUIN
- Practice address
- 10085 Westpark Dr
Ste a
Houston, TX 77042-5900 - Phone
- (713) 463-5382
- Fax
- (713) 463-5496
- NPI assigned
- Jan 3, 2007
- 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. Marlon Orlando Boquin
- Title
- Owner
- Phone
- (713) 463-5382
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0056491 | TX | Primary |
Addresses
Primary practice location
10085 Westpark Dr
Ste a
Houston, TX 77042-5900
Mailing address
10085 Westpark Dr
Ste a
Houston, TX 77042-5900
Phone (713) 463-5382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147562601 | Medicaid | TX |
Other names 1
- Bomar Medical Supply
National Provider Directory
National Provider DirectoryLocations
10085 Westpark Dr
Ste A
Houston, TX 77042
Phone (713) 463-5382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253577600000",
"number": "1053478438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10085 WESTPARK DR",
"address_2": "STE A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770425900",
"telephone_number": "713-463-5382",
"fax_number": "713-463-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10085 WESTPARK DR",
"address_2": "STE A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770425900",
"telephone_number": "713-463-5382",
"fax_number": "713-463-5496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARLON ORLANDO BOQUIN",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2009-09-22",
"status": "A",
"authorized_official_last_name": "BOQUIN",
"authorized_official_first_name": "MARLON",
"authorized_official_middle_name": "ORLANDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "713-463-5382",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0056491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147562601",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bomar Medical Supply",
"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 Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.