Organization Active NPI

Medisyn Prime Solution LLC

  • Durable Medical Equipment & Medical Supplies
  • Wylie, TX
National Provider Identifier
1205795531
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDISYN PRIME SOLUTION LLC
Practice address
3220 Trailing Vines BND
Wylie, TX 75098-1250
Phone
(858) 247-3616
Fax
(858) 247-3616
NPI assigned
Jan 21, 2026
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Mohammad Anas
Title
Ceo
Phone
(945) 342-8683

Specialties & licenses 1

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

Addresses

Primary practice location

3220 Trailing Vines BND
Wylie, TX 75098-1250

Mailing address

3220 Trailing Vines BND
Wylie, TX 75098-1250
Phone (858) 247-3616

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1205795531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 TRAILING VINES BND",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750981250",
            "telephone_number": "858-247-3616",
            "fax_number": "858-247-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 TRAILING VINES BND",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750981250",
            "telephone_number": "858-247-3616",
            "fax_number": "858-247-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISYN PRIME SOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "ANAS",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "945-342-8683"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.