Southern Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1002145 Issued in TX

Legal business name

SOUTHERN MEDICAL SUPPLIES

Practice address

13426 N Highway 75 Ste 3
Willis, TX 77378-1007

Phone

(713) 568-7775

NPI assigned

May 30, 2018

Last updated

Oct 21, 2024By 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

Scott Willa

Title

Manager

Phone

(713) 568-7775

Specialties & licenses 1

Addresses

Other names 1

• Southern DME Other name

Locations

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1366934093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734129",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734129",
            "telephone_number": "713-568-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13426 N HIGHWAY 75 STE 3",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773781007",
            "telephone_number": "713-568-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "WILLA",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-568-7775"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1002145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern DME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Olalekan Olatunde Shodipo, PHARM D
• Skyline Senior Services, LLC
• SLP Willis LLC (Willis Nursing and Rehabilitation)
• Charles Marcus Smith, LPC
• Kathleen Marie Smith, RN
• Jacqueline Denise Sparks
• Karen Sue Spartz
• Brandi Stephenson, M.S., CCC-SLP
• Katie Stewart, LCDC
• Rod C Stewart, D.D.S.

• Durable Medical Equipment & Medical Supplies in Willis, TX
• Providers in Willis, 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 Oct 21, 2024; 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.