Organization Active NPI

E-Tex Homecare, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Winnsboro, TX
National Provider Identifier
1093760365
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
TX 0012919 Issued in TX
Legal business name
E-TEX HOMECARE, LLC.
Practice address
104 Locust St
Winnsboro, TX 75494-2520
Phone
(903) 342-6089
Fax
(903) 342-6096
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Brant King
Title
President
Phone
(903) 342-6089

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X TX 0012919 TX Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 0068929 TX

Addresses

Primary practice location

104 Locust St
Winnsboro, TX 75494-2520

Mailing address

104 Locust St
Winnsboro, TX 75494-2520
Phone (903) 342-6089

Other identifiers 2

IdentifierTypeStateIssuer
165077201MedicaidTX
165077202MedicaidTX

National Provider Directory

National Provider Directory

Locations

104 Locust St
Winnsboro, TX 75494
Phone (903) 342-6089

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1093760365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LOCUST ST",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754942520",
            "telephone_number": "903-342-6089",
            "fax_number": "903-342-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LOCUST ST",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754942520",
            "telephone_number": "903-342-6089",
            "fax_number": "903-342-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E-TEX HOMECARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "BRANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-342-6089"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "TX 0012919",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0068929",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165077201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165077202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.