Organization Active NPI

PD Suppliers of Texas

Doing business as PD Suppliers of West Texas

  • Dialysis Equipment & Supplies (DME)
  • San Angelo, TX
National Provider Identifier
1093776379
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X
Legal business name
PD SUPPLIERS OF TEXAS
Doing business as
PD Suppliers of West Texas
Practice address
136 E Concho Ave
San Angelo, TX 76903-5947
Phone
(325) 653-6773
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
Nora Hernandez
Title
Billing Supervisor
Phone
(325) 653-6773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dialysis Equipment & Supplies (DME) 332BD1200X TX Primary

Addresses

Primary practice location

136 E Concho Ave
San Angelo, TX 76903-5947

Mailing address

PO Box 5780
San Angelo, TX 76902-5780
Phone (325) 653-6773

Other names 1

  • PD Suppliers of West Texas Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1093776379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5780",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769025780",
            "telephone_number": "325-653-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E CONCHO AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035947",
            "telephone_number": "325-653-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PD SUPPLIERS OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "325-653-6773"
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PD Suppliers of West Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.