East Texas Rayon Services, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EAST TEXAS RAYON SERVICES, LLC

Practice address

5361 S State High Way 37
Mineola, TX 75773

Phone

(903) 569-9023

Fax

(903) 569-9374

NPI assigned

Nov 17, 2006

Last updated

Jul 21, 2022By 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

Dana Campbell

Title

Regional Director

Phone

(903) 569-9023

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083787865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5361 S STATE HIGH WAY 37",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "75773",
            "telephone_number": "903-569-9023",
            "fax_number": "903-569-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5361 S STATE HIGH WAY 37",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "75773",
            "telephone_number": "903-569-9023",
            "fax_number": "903-569-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS RAYON SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "903-569-9023"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172681202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172681201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dehaven Optical Center
• Diana Bankhead MD PLLC
• East Texas Counseling & Family Therapy
• East Texas Medical Center Quitman (ETMC First Physicians Clinic Mineola)
• East Texas Medical Center Quitman (ETMC First Physicians Clinic Mineola 2)
• Elliott-Thomas Health Center PC
• Robert M Elliott, M.D.
• Kathleen Ellsworth
• Evelyn Enamorado
• Enis Enterprises

• Durable Medical Equipment & Medical Supplies in Mineola, TX
• Providers in Mineola, 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 Jul 21, 2022; 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.