Professional Medical Tech

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

PROFESSIONAL MEDICAL TECH

Practice address

1901 W Hackberry Ave
McAllen, TX 78501

Phone

(956) 664-1272

Fax

(956) 664-2151

NPI assigned

Dec 14, 2006

Last updated

May 28, 2013By 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

Mr. John Paul Sandoval

Title

President / Owner

Phone

(956) 664-1272

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Jose Antonio Gamboa

  • Other Technician
  • McAllen, TX
  • NPI 1326325176
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1447312996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W HACKBERRY AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78501",
            "telephone_number": "956-664-1272",
            "fax_number": "956-664-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W HACKBERRY AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78501",
            "telephone_number": "956-664-1272",
            "fax_number": "956-664-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL TECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "956-664-1272",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI NUMBER",
            "identifier": "011194001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017298301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Proginosko Behavioral Health & Wellness, LLC
• Promed Preferred TX PLLC
• Prosperity Health Care, LLC
• Providence Medical and Geriatric Associates, PA

• Customized Equipment (DME) in McAllen, TX
• Providers in McAllen, 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 May 28, 2013; 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.