Texas Medical Supplies and Rehabilitation Network

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

0080220 Issued in TX

Legal business name

TEXAS MEDICAL SUPPLIES AND REHABILITATION NETWORK

Doing business as

Tx medical supplies & Rehab network

Practice address

2433 Goldfinch LN
Garland, TX 75042-8022

Phone

(972) 272-5820

Fax

(972) 272-5820

NPI assigned

Nov 3, 2006

Last updated

Aug 22, 2020By 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

Thomas B FomukongNPI 1588078703

Title

Owner

Phone

(972) 272-5820

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tx medical supplies & Rehab network Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Fomukong

  • Licensed Practical Nurse
  • Garland, TX
  • NPI 1588078703
  NPD (past) Authorized official

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396824801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 GOLDFINCH LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750428022",
            "telephone_number": "972-272-5820",
            "fax_number": "972-272-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 GOLDFINCH LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750428022",
            "telephone_number": "972-272-5820",
            "fax_number": "972-272-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS MEDICAL SUPPLIES AND REHABILITATION NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOMUKONG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-272-5820"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0080220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1734238",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tx medical supplies & Rehab network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Texas Eye Clinic PC
• Texas Hospice Providers LLC
• Texas Infusion, LLC (Texas Infusion)
• Texas Infusion, LLC (Texas Infusion)
• Texas Integrated Healthcare Solutions PLLC
• Texas Medical Supply
• Texas Premier Home Healthcare,Inc.
• Texas Samaritan Health Services, Inc.
• Shem M Teya, FNP-C
• Thao Thach, M.D.

• Customized Equipment (DME) in Garland, TX
• Providers in Garland, 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.