Waterloo Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WATERLOO MEDICAL

Practice address

9002 Jodie LN
Austin, TX 78748-6390

Phone

(210) 725-0110

NPI assigned

Nov 8, 2018

Last updated

Nov 8, 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

Steven Andrew Deffee

Title

Ceo

Phone

(210) 725-0110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1306314257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 JODIE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486390",
            "telephone_number": "210-725-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 JODIE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486390",
            "telephone_number": "210-725-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERLOO MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "DEFFEE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-725-0110"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waterfalls Medical Clinic Inc.
• Waterloo Counseling Center, Inc.
• Waterloo Family Practice, PLLC
• Waterloo Imaging LLC
• Waterloo Med Co
• Waterloo Residential Services Inc.
• Amanda Waterman, M.D.
• Alexandria D Waters
• Hunter Waters
• James R. Waters, DDS, MSD

• Durable Medical Equipment & Medical Supplies in Austin, TX
• Providers in Austin, 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 Nov 8, 2018; 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.