Organization Active NPI

Marlon Orlando Boquin

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1053478438
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0056491 Issued in TX
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

Updated by the provider on Sep 22, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
147562601MedicaidTX

Other names 1

  • Bomar Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.