NPIMap

Organization Active NPI

David a Awalt

  • Durable Medical Equipment & Medical Supplies
  • Seymour, TX
National Provider Identifier
1114921038
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0068341 Issued in TX
Legal business name
DAVID A AWALT
Doing business as
Seymour Medical Supply
Practice address
110 W Reiman St
Seymour, TX 76380-2553
Phone
(940) 889-6060
Fax
(940) 889-6050
NPI assigned
Jun 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Denise Allen
Title
Office Manager/Cfo
Phone
(940) 889-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0068341 TX Primary

Addresses

Primary practice location

110 W Reiman St
Seymour, TX 76380-2553

Mailing address

110 W Reiman St
Seymour, TX 76380-2553
Phone (940) 889-6060

Other identifiers 2

IdentifierTypeStateIssuer
158522601MedicaidTX
158522602MedicaidTX

Other names 1

  • Seymour Medical Supply Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1114921038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W REIMAN ST",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "763802553",
            "telephone_number": "940-889-6060",
            "fax_number": "940-889-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W REIMAN ST",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "763802553",
            "telephone_number": "940-889-6060",
            "fax_number": "940-889-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A AWALT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER/CFO",
        "authorized_official_telephone_number": "940-889-6060"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0068341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158522601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158522602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seymour Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seymour, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.