Mid Valley Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MID VALLEY MEDICAL SUPPLIES LLC

Practice address

111 S Ohio Ave Ste 1
Mercedes, TX 78570-2612

Phone

(956) 246-9831

NPI assigned

Aug 26, 2020

Last updated

Aug 26, 2020By 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. Javier Eduardo CavazosNPI 1679184956

Title

Owner/President

Phone

(956) 246-9831

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Javier Eduardo Cavazos

  • Durable Medical Equipment & Medical Supplies
  • Mercedes, TX
  • NPI 1679184956
  NPD Authorized official

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1205449550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S OHIO AVE STE 1",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702612",
            "telephone_number": "956-246-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S OHIO AVE STE 1",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702612",
            "telephone_number": "956-246-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID VALLEY MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "CAVAZOS",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "956-246-9831",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Medrano
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• Mercedes Isd
• Mercedes Isd
• Mid Valley Homecare Services, LLC.
• Mid Valley Pharmacy LLP (Mid Valley Pharmacy)
• Mind Matters, LLC
• Leticia Mireles
• Abad Morales
• Jessica Maritza Morales, OTR

• Durable Medical Equipment & Medical Supplies in Mercedes, TX
• Providers in Mercedes, 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 Aug 26, 2020; 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.