Organization Active NPI

C I M, LLC

  • Oxygen Equipment & Supplies (DME)
  • Sugar Land, TX
National Provider Identifier
1336445790
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
C I M, LLC
Practice address
11514 Swiftwater Bridge LN
Sugar Land, TX 77498-7049
Phone
(832) 886-0202
Fax
(832) 604-4040
NPI assigned
Feb 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Mr. Mustafa Taher Fatakdawala
Title
Ceo
Phone
(832) 217-9838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

11514 Swiftwater Bridge LN
Sugar Land, TX 77498-7049

Mailing address

11514 Swiftwater Bridge LN
Sugar Land, TX 77498-7049
Phone (832) 886-0202

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1336445790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11514 SWIFTWATER BRIDGE LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774987049",
            "telephone_number": "832-886-0202",
            "fax_number": "832-604-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11514 SWIFTWATER BRIDGE LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774987049",
            "telephone_number": "832-886-0202",
            "fax_number": "832-604-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C I M, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "FATAKDAWALA",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_middle_name": "TAHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-217-9838",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.