Organization Active NPI

Lawrence S Elliott Dba Medquip

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1093770935
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0046063 Issued in TX
Legal business name
LAWRENCE S ELLIOTT DBA MEDQUIP
Practice address
3510 Oak Forest Dr
Houston, TX 77018
Phone
(832) 467-3574
Fax
(281) 477-0203
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Authorized official

Name
Mr. Lawrence S Elliott
Title
Owner
Phone
(832) 467-3574

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0046063 TX Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 0046063 TX

Addresses

Primary practice location

3510 Oak Forest Dr
Houston, TX 77018

Mailing address

3510 Oak Forest Dr
Houston, TX 77018
Phone (832) 467-3574

Other identifiers 3

IdentifierTypeStateIssuer
017272801MedicaidTX
83503OtherTXDME EVERCARE STAR PLUS
17089143OtherTXEVERCARE COMMUNITY HMO

National Provider Directory

National Provider Directory

Locations

3510 Oak Forest Dr
Houston, TX 77018
Phone (832) 467-3574

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1093770935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 OAK FOREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77018",
            "telephone_number": "832-467-3574",
            "fax_number": "281-477-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 OAK FOREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77018",
            "telephone_number": "832-467-3574",
            "fax_number": "281-477-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE S ELLIOTT DBA MEDQUIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-467-3574",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0046063",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0046063",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017272801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME EVERCARE STAR PLUS",
            "identifier": "83503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE COMMUNITY HMO",
            "identifier": "17089143",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 17, 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.