NPIMap

Organization Active NPI

TX Blubonnet Durable Medical Equipment Co, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Sanger, TX
National Provider Identifier
1255498200
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TX BLUBONNET DURABLE MEDICAL EQUIPMENT CO, INC.
Practice address
808 Utility Rd
Sanger, TX 76266-9131
Phone
(940) 458-9172
Fax
(940) 458-9175
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Jerry Hakze, CEO
Title
Ceo
Phone
(940) 458-9172

Specialties & licenses 1

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

Addresses

Primary practice location

808 Utility Rd
Sanger, TX 76266-9131

Mailing address

808 Utility Rd
Sanger, TX 76266-9131
Phone (640) 458-9172

National Provider Directory

National Provider Directory
Tax ID family
Texas Blue Bonnet DME2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1255498200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 UTILITY RD",
            "city": "SANGER",
            "state": "TX",
            "postal_code": "762669131",
            "telephone_number": "640-458-9172",
            "fax_number": "940-458-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 UTILITY RD",
            "city": "SANGER",
            "state": "TX",
            "postal_code": "762669131",
            "telephone_number": "940-458-9172",
            "fax_number": "940-458-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TX BLUBONNET DURABLE MEDICAL EQUIPMENT CO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "HAKZE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-458-9172",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanger, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.