Texmed Supply LLC

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

TEXMED SUPPLY LLC

Practice address

6813 Cactus Dr
Waco, TX 76712-6742

Phone

(254) 772-0040

Fax

(254) 772-1110

NPI assigned

May 9, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Kelly Novan Kunka

Title

President

Phone

(254) 772-0040

Specialties & licenses 1

Addresses

Other names 1

• Pruett Medical Inc Doing business as

Locations

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1235540451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6813 CACTUS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126742",
            "telephone_number": "254-772-0040",
            "fax_number": "254-772-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6813 CACTUS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126742",
            "telephone_number": "254-772-0040",
            "fax_number": "254-772-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXMED SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "KUNKA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "NOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-772-0040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pruett Medical Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Waco, TX
• Parenteral & Enteral Nutrition Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.