Koala LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

332B00000X Issued in TX

Legal business name

KOALA LLC

Practice address

1901 W Irving Blvd Suite 750
Irving, TX 75061-6871

Phone

(972) 821-0137

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Linda J Clague

Title

Owner

Phone

(972) 262-0891

Specialties & licenses 1

Addresses

Other names 1

• koala mobility Doing business as

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376644666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W IRVING BLVD STE 750",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750616823",
            "telephone_number": "972-821-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W IRVING BLVD SUITE 750",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750616871",
            "telephone_number": "972-821-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOALA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLAGUE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-262-0891",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "koala mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Knight, PTA
• Kathryn Knittle, RBT
• Yonah Knuckles, NP
• Jacqueline Renee Knutson
• Sung Cho Ko, DC
• Nicole Koci, PT
• Alexander John Koenig, LPC
• Priscilla Ly Kojder, MD
• Cathryn Woeber Kolker, DC
• Bindu Madhavi Kolli, D.M.D.

• Customized Equipment (DME) in Irving, TX
• Providers in Irving, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.