Patrick B. Henderson

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0090326 Issued in TX

Legal business name

PATRICK B. HENDERSON

Practice address

500 E Arapaho Rd
313
Richardson, TX 75081-2765

Phone

(972) 235-4200

Fax

(972) 235-2300

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Bouvier Hendeson

Title

Owner

Phone

(972) 235-4200

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Karma Medical Supply Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Bouvier Henderson

  • Oxygen Equipment & Supplies (DME)
  • Richardson, TX
  • NPI 1639185010
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1073714697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E ARAPAHO RD",
            "address_2": "313",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812765",
            "telephone_number": "972-235-4200",
            "fax_number": "972-235-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E ARAPAHO RD",
            "address_2": "313",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812765",
            "telephone_number": "972-235-4200",
            "fax_number": "972-235-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK B. HENDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "HENDESON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "BOUVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-235-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0090326",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0090326",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0090326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183415201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karma Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oxygen Equipment & Supplies (DME) in Richardson, TX
• Providers in Richardson, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.