Victory Medical Equipment of TX

Key facts

NPI

1275840407

Entity type

Organization (NPI type 2)

Primary specialty

Oxygen Equipment & Supplies (DME) 332BX2000X

License

0099790 (TX)

Legal business name

VICTORY MEDICAL EQUIPMENT OF TX

Practice address

2501 N Center St
Suite 105
Bonham, TX 75418-2114

Phone

(903) 583-3562

Fax

(903) 583-8636

NPI assigned

Sep 9, 2010

Organization subpart

Yes

Parent organization (as reported)

VICTORY MEDICAL EQUIPMENT OF TX

Authorized official

Name

Judy K Bolen

Title

Administrator

Phone

(903) 868-0308

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Jo Besch, RPT Physical Therapist · Bonham, TX · NPI 1508164104
  NPD (past)

National Provider Directory

Part of

Victory Medical Equipment of Texas LLC

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 9, 2010.

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1275840407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 GALLAGHER DR",
            "address_2": "SUITE D",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750903111",
            "telephone_number": "903-868-0308",
            "fax_number": "903-868-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N CENTER ST",
            "address_2": "SUITE 105",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754182114",
            "telephone_number": "903-583-3562",
            "fax_number": "903-583-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MEDICAL EQUIPMENT OF TX",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VICTORY MEDICAL EQUIPMENT OF TX",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "BOLEN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-868-0308"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0099790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192165201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonham, TX

• Karen Vandusen, M.S.,R.D.
• Veterans Affairs
• Veterans Affairs Hospital
• Victory Hone Health of Texas
• Victory Medical Equipment of Texas, LLC
• Lindsey Vierus
• Vijayalakshmi Nandimandalam, M.D., P.a.
• Wal-Mart Stores Texas LLC
• Walgreen Co
• William Lance Walkup, APRN, FNP-C

All providers in Bonham, TX · Oxygen Equipment & Supplies (DME) in Texas