Organization Active NPI

West Texas Medical Associates

  • Durable Medical Equipment & Medical Supplies
  • San Angelo, TX
National Provider Identifier
1114133634
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WEST TEXAS MEDICAL ASSOCIATES
Practice address
3605 Executive Dr
San Angelo, TX 76904
Phone
(325) 949-9555
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Authorized official

Name
Tommy McMahon
Title
Administrator
Phone
(325) 949-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3605 Executive Dr
San Angelo, TX 76904

Mailing address

3605 Executive Dr
San Angelo, TX 76904-6884
Phone (325) 949-9555

Other practice location 1

3555 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone (325) 949-9555

Other practice location 2

3555 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone (325) 949-9555

Other identifiers 1

IdentifierTypeStateIssuer
135031605MedicaidTX

National Provider Directory

National Provider Directory

Locations

800 N Main Ave
Ste 3
Big Lake, TX 76932
Phone (325) 884-3743

3555 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 224-5411

3605 Executive Dr
San Angelo, TX 76904
Phone (325) 949-9555

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1114133634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 EXECUTIVE DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046884",
            "telephone_number": "325-949-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 EXECUTIVE DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76904",
            "telephone_number": "325-949-9555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 Knickerbocker Rd",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769047610",
            "country_code": "US",
            "telephone_number": "325-949-9555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3555 Knickerbocker Rd",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769047610",
            "country_code": "US",
            "telephone_number": "325-949-9555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST TEXAS MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "325-949-9555"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135031605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 5, 2018; 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.