Key Med Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0073621 Issued in TX

Legal business name

KEY MED INC

Practice address

1124 S 12TH Ave
Edinburg, TX 78539-5608

Phone

(866) 408-3334

Fax

(956) 381-9009

NPI assigned

Jul 8, 2005

Last updated

Sep 25, 2018By 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

Patricio Garza, LVN

Title

Owner

Phone

(956) 381-9001

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1255339842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 S 12TH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395608",
            "telephone_number": "866-408-3334",
            "fax_number": "956-381-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 S 12TH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395608",
            "telephone_number": "866-408-3334",
            "fax_number": "956-381-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "PATRICIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-381-9001",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0073621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165916101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165916102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Edinburg, TX
• Providers in Edinburg, 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 Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.