NPIMap

Organization Active NPI

Travis Medical Sales Corp

  • Oxygen Equipment & Supplies (DME)
  • Abilene, TX
National Provider Identifier
1144516956
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
TRAVIS MEDICAL SALES CORP
Practice address
4397 Crawford Dr
Abilene, TX 79602-7827
Phone
(325) 793-3546
Fax
(325) 793-3548
NPI assigned
Jun 21, 2011
Organization subpart
Yes
Parent organization
TRAVIS MEDICAL SALES CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Jeffrey Matukewicz
Title
Secretary
Phone
(423) 756-2268

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

4397 Crawford Dr
Abilene, TX 79602-7827

Mailing address

5959 Shallowford Rd Ste 443
Chattanooga, TN 37421-2245
Phone (423) 756-2268

National Provider Directory

National Provider Directory
Tax ID family
Travis Medical Sales Corp7 organizations share this tax ID, including this one
Part of
Travis Medical Sales Corp

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4397 Crawford Dr
Abilene, TX 79602
Phone (325) 793-3546

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1144516956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 SHALLOWFORD RD STE 443",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212245",
            "telephone_number": "423-756-2268",
            "fax_number": "423-362-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4397 CRAWFORD DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796027827",
            "telephone_number": "325-793-3546",
            "fax_number": "325-793-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS MEDICAL SALES CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRAVIS MEDICAL SALES CORP",
        "enumeration_date": "2011-06-21",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "MATUKEWICZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "423-756-2268"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.