Organization Active NPI

PM Supply LLC

Doing business as Precise Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1063474542
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0086700 Issued in TX
Legal business name
PM SUPPLY LLC
Doing business as
Precise Medical Supply
Practice address
8313 Southwest Fwy
Ste 223
Houston, TX 77074-1612
Phone
(713) 270-8183
Fax
(713) 270-8175
NPI assigned
Apr 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mr. Derwin Ware, CPED
Title
General Manager
Phone
(713) 270-8183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0086700 TX Primary

Addresses

Primary practice location

8313 Southwest Fwy
Ste 223
Houston, TX 77074-1612

Mailing address

8313 Southwest Fwy
Ste 223
Houston, TX 77074-1612
Phone (713) 270-8183

Other identifiers 1

IdentifierTypeStateIssuer
148113702MedicaidTX

Other names 1

  • Precise Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

8313 Southwest Fwy
Ste 223
Houston, TX 77074
Phone (281) 495-5866

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1063474542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8313 SOUTHWEST FWY",
            "address_2": "STE 223",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741612",
            "telephone_number": "713-270-8183",
            "fax_number": "713-270-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8313 SOUTHWEST FWY",
            "address_2": "STE 223",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741612",
            "telephone_number": "713-270-8183",
            "fax_number": "713-270-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "DERWIN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "713-270-8183",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0086700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148113702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precise 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 Jun 13, 2008; 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.