Medicore360, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICORE360, LLC

Practice address

115 N Central Ave
Suite C
Cameron, TX 76520-3330

Phone

(512) 522-7111

Fax

(512) 535-3625

NPI assigned

Mar 21, 2011

Last updated

Mar 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Herman Cardenas

Title

Pres/Ceo

Phone

(512) 522-7111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1053610758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LONG POINT COVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78628",
            "telephone_number": "512-522-7111",
            "fax_number": "512-535-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N CENTRAL AVE",
            "address_2": "SUITE C",
            "city": "CAMERON",
            "state": "TX",
            "postal_code": "765203330",
            "telephone_number": "512-522-7111",
            "fax_number": "512-535-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICORE360, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "512-522-7111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Luong, RPH, PHARMD, BS
• Tariq Mahmood, M.D.
• John Michael Marek, LAT
• Jose Alejandro Martinez, LVN
• MD Health RX Solutions, LLC (OnMed)
• Brandon Wade Messamore, MSN, APRN, FNP-C
• Milam Co Health Dept
• Milam County
• Milam County Emergency Services
• Milam Medical

• Durable Medical Equipment & Medical Supplies in Cameron, TX
• Providers in Cameron, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.