Organization Active NPI

Linclon Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1386839116
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
TXDME Issued in TX
Legal business name
LINCLON MEDICAL SUPPLY
Practice address
4009 Bellaire Blvd
#K
Houston, TX 77025-1168
Phone
(713) 576-6903
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Mark Edward Farias, B.S.
Title
Manager
Phone
(713) 576-6903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X TXDME TX Primary

Addresses

Primary practice location

4009 Bellaire Blvd
#K
Houston, TX 77025-1168

Mailing address

PO Box 10347
Corpus Christi, TX 78460-0347
Phone (713) 576-6903

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1386839116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10347",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784600347",
            "telephone_number": "713-576-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 BELLAIRE BLVD",
            "address_2": "#K",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251168",
            "telephone_number": "713-576-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCLON MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "FARIAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-576-6903",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "TXDME",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.