Texas Incontinence Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TEXAS INCONTINENCE SUPPLY LLC

Practice address

8820 14TH St
Lubbock, TX 79416-6218

Phone

(806) 789-6963

NPI assigned

Jun 17, 2013

Last updated

Jun 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Vicente Dominguez II

Title

Owner

Phone

(806) 789-6963

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1194164889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 14TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794166218",
            "telephone_number": "806-789-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 14TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794166218",
            "telephone_number": "806-789-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS INCONTINENCE SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "VICENTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-789-6963",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.